Jeffery T Chelmo (NPI# 1336238518, PAC ID# 8426189119) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1336238518 |
PAC ID by PECOS | 8426189119 |
Professional Enrollment ID | I20100624000176 |
Full Name | Jeffery T Chelmo |
Organization Legal Name | LIBERTY COUNTY HOSPITAL AND NURSING HOME INC |
Address |
418 W Monroe Ave Chester MT 59522 |
Phone Number | 4067595194 |
Gender | M |
Graduation Year | 1999 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 0042128480 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
271334 | LIBERTY MEDICAL CENTER |
271331 | MINERAL COMMUNITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
418 W Monroe Ave, Chester, MT 59522 | 4067595194 | LIBERTY COUNTY HOSPITAL AND NURSING HOME INC |
Organization Legal Name | LIBERTY COUNTY HOSPITAL AND NURSING HOME INC |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Darren J Young | Physician Assistant | Liberty County Hospital and Nursing Home Inc | 418 W Monroe Ave, Chester, MT 59522 |
Timothy R Blair | Nurse Practitioner | Liberty County Hospital and Nursing Home Inc | 418 W Monroe Ave, Chester, MT 59522 |
Ashly A Parker | Physician Assistant | Liberty County Hospital and Nursing Home Inc | 418 W Monroe Ave, Chester, MT 59522 |
Gladys E Young | Family Practice | Liberty County Hospital and Nursing Home Inc | 418 W Monroe Ave, Chester, MT 59522 |
Street Address |
418 W MONROE AVE |
City | CHESTER |
State | MT |
Zip | 59522 |
Name | Specialty | Organization | Address |
---|---|---|---|
Patrick T Armstrong | Physician Assistant | 418 W Monroe Ave, Chester, MT 59522-7835 | |
Darren J Young | Physician Assistant | Liberty County Hospital and Nursing Home Inc | 418 W Monroe Ave, Chester, MT 59522 |
Timothy R Blair | Nurse Practitioner | Liberty County Hospital and Nursing Home Inc | 418 W Monroe Ave, Chester, MT 59522 |
Ashly A Parker | Physician Assistant | Liberty County Hospital and Nursing Home Inc | 418 W Monroe Ave, Chester, MT 59522 |
Gladys E Young | Family Practice | Liberty County Hospital and Nursing Home Inc | 418 W Monroe Ave, Chester, MT 59522 |
City | CHESTER |
Zip Code | 59522 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | CHESTER + PHYSICIAN ASSISTANT |
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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.