| Chantel M Allen, APRN | |
|
9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | |
| (503) 879-2002 | |
| (503) 879-2071 |
| Full Name | Chantel M Allen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 9605 Grand Ronde Rd, Grand Ronde, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780216390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | APRN1005111 (Oregon) | Primary |
| 163WE0003X | Registered Nurse - Emergency | RN9341572 (Florida) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Viera Hospital | Melbourne, FL | Hospital |
| Holmes Regional Medical Center | Melbourne, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Health First Privia Medical Group, Llc | 3173965993 | 192 |
| Entity Name | Health First Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750626495 PECOS PAC ID: 7416100672 Enrollment ID: O20130122000135 |
| Entity Name | Health First Privia Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700649043 PECOS PAC ID: 3173965993 Enrollment ID: O20240524002147 |
| Mailing Address | Practice Location Address |
|---|---|
| Chantel M Allen, APRN 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2002 | Chantel M Allen, APRN 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2002 |
Mr. Maurice A Ajaifia, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2026 | |
Ms. Wendy Monette Schmolzi, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2002 Fax: 503-879-2071 | |
Tricia Raye Hayden, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2060 | |
Deborah Anne Samoson, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2002 |