Rachel Chavez, PA is a medicare enrolled "Physician Assistant" in Redwood Valley, California. Her current practice location is
6991 N State St, Redwood Valley, California. You can reach out to her office (for appointments etc.) via phone at
(707) 485-5115.
Rachel Chavez is licensed to practice in California (license number PA20492) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1346575511.
Provider's Profile
| Full Name | Rachel Chavez |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 6991 N State St, Redwood Valley, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1346575511
- Provider Enumeration Date: 10/06/2009
- Last Update Date: 10/13/2010
Medicare PECOS Information:
- PECOS PAC ID: 2062552102
- Enrollment ID: I20241116000146
Medical Identifiers
Medical identifiers for Rachel Chavez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346575511 | NPI | - | NPPES |
| PA20492 | Other | CA | CA LICENSE # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA20492 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Rachel Chavez allows following entities to bill medicare on her behalf.
| Entity Name | Revive Pathway |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962117440
PECOS PAC ID: 4284081639
Enrollment ID: O20240924001884 |
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| Entity Name | Puyallup Tribal Opioid Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992582613
PECOS PAC ID: 4486096377
Enrollment ID: O20241029002291 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rachel Chavez is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Rachel Chavez, PA
Po Box 387,
Calpella, CA 95418-0387
Ph: (707) 485-5115 | Rachel Chavez, PA
6991 N State St,
Redwood Valley, CA 95470-9629
Ph: (707) 485-5115 |
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