Jeffrey K Chaulk Md Pc is a
Ophthalmology based in Cheboygan, Michigan. Jeffrey K Chaulk Md Pc is licensed to practice in Michigan (license number 4301405077) and their current practice location is
810 S Main St, Suite 3, Cheboygan, Michigan. It can be reached at their office (for appointments etc.) via phone at
(231) 627-3169.
NPI number for Jeffrey K Chaulk Md Pc is 1902093701 and their current mailing address is Po Box 1665, Gaylord, Michigan. Jeffrey K Chaulk Md Pc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1902093701.
Healthcare Provider's Profile
| Full Name | Jeffrey K Chaulk Md Pc |
|---|
| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 810 S Main St, Cheboygan, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902093701
- Provider Enumeration Date: 09/26/2007
- Last Update Date: 02/26/2008
Medical Identifiers
Medical identifiers for Jeffrey K Chaulk Md Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902093701 | NPI | - | NPPES |
| 3038290 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 4901004074 (Michigan) | Secondary |
| 152W00000X | Optometrist | 4901003939 (Michigan) | Secondary |
| 207W00000X | Ophthalmology | 4301081575 (Michigan) | Secondary |
| 207W00000X | Ophthalmology | 4301405077 (Michigan) | Primary |
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. Jeffrey K Chaulk Md Pc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jeffrey K Chaulk Md Pc
Po Box 1665,
Gaylord, MI 49734-5665
Ph: (989) 732-6455 | Jeffrey K Chaulk Md Pc
810 S Main St, Suite 3,
Cheboygan, MI 49721-2290
Ph: (231) 627-3169 |
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