| Charles Comstock Chase, CAA | |
|
707 Sw Washington St Ste 700, Portland, OR 97205-3523 | |
| (503) 299-9906 | |
| (503) 225-9002 |
| Full Name | Charles Comstock Chase |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 4 Years |
| Location | 707 Sw Washington St Ste 700, Portland, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417694381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | AA70065105 (Washington) | Primary |
| 367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Freeman Health System - Freeman West | Joplin, MO | Hospital |
| St Louis University Hospital | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Freeman-oak Hill Health System | 8325942253 | 386 |
| Entity Name | Ssm Health Slu Hospital Anesthesia Physician Billing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407232804 PECOS PAC ID: 3274842331 Enrollment ID: O20151013000437 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Comstock Chase, CAA Po Box 35147, Seattle, WA 98124-5147 Ph: () - | Charles Comstock Chase, CAA 707 Sw Washington St Ste 700, Portland, OR 97205-3523 Ph: (503) 299-9906 |
Mr. Rex Lorenzo Rodriguez, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 707 Sw Washington St Ste 700, Portland, OR 97205 Phone: 503-299-9906 Fax: 500-322-5900 | |
Nicole Boerema, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 707 Sw Washington St Ste 700, Portland, OR 97205 Phone: 503-299-9906 Fax: 503-225-9002 | |
Erin Chormanski, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 707 Sw Washington St Ste 700, Portland, OR 97205 Phone: 503-299-9906 Fax: 503-225-9002 | |
Deborah E Agustin, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 707 Sw Washington St Ste 700, Portland, OR 97205 Phone: 503-299-9906 Fax: 503-225-9002 | |
Austin Levi, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 707 Sw Washington St Ste 700, Portland, OR 97205 Phone: 503-299-9906 Fax: 503-225-9002 | |
Stephanie Guo, CAA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 707 Sw Washington St Ste 700, Portland, OR 97205 Phone: 503-299-9906 Fax: 503-225-9002 |