Chad A Mongrain (NPI# 1720028244, PAC ID# 0840202453) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1720028244 |
| PAC ID by PECOS | 0840202453 |
| Professional Enrollment ID | I20060623000244 |
| Full Name | Chad A Mongrain |
| Organization Legal Name | LINCOLN COUNTY HOSPITAL DISTRICT 3 |
| Address |
100 3rd St Suite 1 Davenport WA 99122-9731 |
| Phone Number | 5097257501 |
| Gender | M |
| Credential | DO |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3971591199 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501305 | LINCOLN HOSPITAL |
| 501308 | COULEE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 100 3rd St, Suite 1, Davenport, WA 99122-9731 | 5097257501 | LINCOLN COUNTY HOSPITAL DISTRICT 3 |
| Organization Legal Name | LINCOLN COUNTY HOSPITAL DISTRICT 3 |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raaj Kiran Ruparel | General Surgery | Lincoln County Hospital District 3 | 100 3rd St, Suite 1, Davenport, WA 99122-5008 |
| Donella S Young | Family Medicine | Lincoln County Hospital District 3 | 550 E Broadway, Reardan Health Clinic, Reardon, WA 99029-0629 |
| Steven W Beckstrom | Certified Registered Nurse Anesthetist (crna) | Lincoln County Hospital District 3 | 10 Nichols St, Acute Care, Davenport, WA 99122-9729 |
| Ralph A Monteagudo | General Practice | Lincoln County Hospital District 3 | 100 3rd St, Suite 1, Davenport, WA 99122-9731 |
| Virginia Marie Hawthorne | Nurse Practitioner | Lincoln County Hospital District 3 | 550 E Broadway, Reardan Health Clinic, Reardon, WA 99029-0629 |
| Rolf K Panke | Family Medicine | Lincoln County Hospital District 3 | 100 3rd St, Davenport, WA 99122-5008 |
| Frederick J Reed | Family Medicine | Lincoln County Hospital District 3 | 550 E Broadway, Reardan Health Clinic, Reardon, WA 99029-0629 |
| Lynn A Kohlmeier | Endocrinology | Lincoln County Hospital District 3 | 100 3rd St, Davenport, WA 99122-5008 |
| Tyler W Zaugg | Physician Assistant | Lincoln County Hospital District 3 | 100 3rd St, Davenport, WA 99122-5008 |
| Stacia J Soliday | Nurse Practitioner | Lincoln County Hospital District 3 | 100 3rd St, Davenport, WA 99122-5008 |
| Street Address |
100 3RD ST SUITE 1 |
| City | DAVENPORT |
| State | WA |
| Zip | 99122-9731 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raaj Kiran Ruparel | General Surgery | Lincoln County Hospital District 3 | 100 3rd St, Suite 1, Davenport, WA 99122-5008 |
| Ralph A Monteagudo | General Practice | Lincoln County Hospital District 3 | 100 3rd St, Suite 1, Davenport, WA 99122-9731 |
| Leon Favede | Optometry | Drs. Favede and Associates | 100 3rd St, Bridgeport, OH 43912-1605 |
| Rolf K Panke | Family Medicine | Lincoln County Hospital District 3 | 100 3rd St, Davenport, WA 99122-5008 |
| Lynn A Kohlmeier | Endocrinology | Lincoln County Hospital District 3 | 100 3rd St, Davenport, WA 99122-5008 |
| Tyler W Zaugg | Physician Assistant | Lincoln County Hospital District 3 | 100 3rd St, Davenport, WA 99122-5008 |
| Stacia J Soliday | Nurse Practitioner | Lincoln County Hospital District 3 | 100 3rd St, Davenport, WA 99122-5008 |
| Christine M Seyler | Physician Assistant | Lincoln County Hospital District 3 | 100 3rd St, Davenport, WA 99122-5008 |
| James N Dunlap | Orthopedic Surgery | Lincoln County Hospital District 3 | 100 3rd St, Suite 1, Davenport, WA 99122-5008 |
| Leon Favede | Optometry | Drs. Favede and Associates | 100 3rd St, Bridgeport, OH 43912-1605 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stacie Rae Nichols | Optometry | 506 8th St, Davenport, WA 99122-5179 | |
| Steven W Beckstrom | Certified Registered Nurse Anesthetist (crna) | Lincoln County Hospital District 3 | 10 Nichols St, Acute Care, Davenport, WA 99122-9729 |
| Deanna D Davidson | General Surgery | Lincoln County Hospital District 3 | 10 Nichols St, Acute Care, Davenport, WA 99122-9729 |
| Cynthia D Mccall | Nurse Practitioner | Lincoln County Hospital District 3 | 10 Nichols St, Acute Care, Davenport, WA 99122-9729 |
| City | DAVENPORT |
| Zip Code | 99122 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DAVENPORT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Chad A Mongrain.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.