Jeffrey K Chaulk Md Pc - Medicare in Gaylord, MI

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Jeffrey K Chaulk Md Pc is a medicare enrolled "Ophthalmology" provider in Gaylord, Michigan. Their current practice location is 350 W North St, Gaylord, Michigan. You can reach out to their office (for appointments etc.) via phone at (989) 732-6455.

Jeffrey K Chaulk Md Pc is licensed to practice in Michigan (license number 4301405077) and it also participates in the medicare program. Jeffrey K Chaulk Md Pc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1215065727.

Contact Information

Jeffrey K Chaulk Md Pc
350 W North St,
Gaylord, MI 49735-1525
(989) 732-6455
(989) 732-1102

Map and Direction




Healthcare Provider's Profile

Full NameJeffrey K Chaulk Md Pc
TypeFacility
SpecialityOphthalmology
Location350 W North St, Gaylord, Michigan
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215065727
  • Provider Enumeration Date: 02/28/2007
  • Last Update Date: 07/20/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 6305947458
  • Enrollment ID: O20070719000634

Medical Identifiers

Medical identifiers for Jeffrey K Chaulk Md Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215065727NPI-NPPES
180F910770OtherMIBCBS OD
1806920011OtherMIBLUE CARE NETWORK
3038315MedicaidMI
180F910760OtherMIBCBS MD
CJ0562OtherMIRAILROAD MEDICARE
900F910770OtherMIBLUE CARE NETWORK
900F910770OtherMIBCBS
1806920011OtherMIBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 4901003939 (Michigan)Secondary
207W00000XOphthalmology 5101016992 (Michigan)Secondary
152W00000XOptometrist 4901004074 (Michigan)Secondary
207W00000XOphthalmology 4301405077 (Michigan)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Jeffrey K Chaulk Md Pc acts as a billing entity for following providers:
Provider NameWilliam R Shouldice
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1275611246
PECOS PAC ID: 6800981374
Enrollment ID: I20070927000965
Provider NameMichael L Habryl
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1437470325
PECOS PAC ID: 4587856562
Enrollment ID: I20101008000600
Provider NameJeffrey Kenneth Chaulk
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1710925334
PECOS PAC ID: 0749381895
Enrollment ID: I20101119000443
Provider NameBrian Wade
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1306255187
PECOS PAC ID: 8224258637
Enrollment ID: I20141007002374
Provider NameRoxanne Rottiers
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1205212131
PECOS PAC ID: 2264746932
Enrollment ID: I20150810000527
Provider NameDan James St Aubin
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1699115675
PECOS PAC ID: 3971807355
Enrollment ID: I20170606002105
Provider NamePeter Dunsmore Lawrence
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1346814613
PECOS PAC ID: 7416356282
Enrollment ID: I20210527000876
Provider NameKevin Bradley Lodewyk
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1255851952
PECOS PAC ID: 1850661059
Enrollment ID: I20220418001254

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 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 AddressPractice Location Address
Jeffrey K Chaulk Md Pc
Po Box 1665,
Gaylord, MI 49734-5665

Ph: (989) 732-6455		Jeffrey K Chaulk Md Pc
350 W North St,
Gaylord, MI 49735-1525

Ph: (989) 732-6455

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.