Timothy L Chancellor (NPI# 1417916321, PAC ID# 2365546637) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1417916321 |
| PAC ID by PECOS | 2365546637 |
| Professional Enrollment ID | I20070705000185 |
| Full Name | Timothy L Chancellor |
| Organization Legal Name | CHADRON VISION CENTER, INC. |
| Address |
Highway Suite 18 Pine Ridge SD 57770 |
| Phone Number | 6058672772 |
| Gender | M |
| Graduation Year | 1994 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8123073574 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 241 E 3rd St, Chadron, NE 69337-2301 | 3084323222 | CHADRON VISION CENTER, INC. |
| 112 N Main St, Gordon, NE 69343-1524 | 3082820820 | CHADRON VISION CENTER, INC. |
| Highway, Suite 18, Pine Ridge, SD 57770 | 6058672772 | CHADRON VISION CENTER, INC. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 4% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 2% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 100% |
| Organization Legal Name | CHADRON VISION CENTER, INC. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bradley Marcy | Optometry | Chadron Vision Center, Inc. | 241 E 3rd St, Chadron, NE 69337-2301 |
| Mark R Winckler | Optometry | Chadron Vision Center, Inc. | 241 E 3rd St, Chadron, NE 69337-2301 |
| Street Address |
HIGHWAY SUITE 18 |
| City | PINE RIDGE |
| State | SD |
| Zip | 57770 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron M Tosky | Chiropractic | Highway, Suite 70, Hildebran, NC 28637 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl G Lindquist | Internal Medicine | Pine Ridge Indian Health Service | 18 E Hwy, Pine Ridge, SD 57770 |
| Julie A O'neil | Certified Nurse Midwife | Pine Ridge Indian Health Service | 18 E Hwy, Pine Ridge, SD 57770 |
| Efren Vargas | Internal Medicine | Pine Ridge Indian Health Service | 18 E Hwy, Pine Ridge, SD 57770 |
| Nelson Sanabria Hilerio | Emergency Medicine | Pine Ridge Indian Health Service | 18 E Hwy, Pine Ridge, SD 57770 |
| Sheldon S Watson | Physician Assistant | Pine Ridge Indian Health Service | 18 E Hwy, Pine Ridge, SD 57770 |
| Albert Matos Guadalupe | General Practice | Pine Ridge Indian Health Service | 18 E Hwy, Pine Ridge, SD 57770 |
| Mauricio A Consalter | Internal Medicine | Pine Ridge Indian Health Service | 18 E Hwy, Pine Ridge, SD 57770 |
| Roberto J Carcamo-sanabria | Internal Medicine | Pine Ridge Indian Health Service | 18 E Hwy, Pine Ridge, SD 57770 |
| Timothy D Bilash | Obstetrics/gynecology | Pine Ridge Indian Health Service | 18 E Hwy, Pine Ridge, SD 57770 |
| Leanna M Brooks Smith | Nurse Practitioner | Pine Ridge Indian Health Service Hospital | 18 E Hwy, Pine Ridge, SD 57770 |
| Find all physicians in zip 57770 | |||
| City | PINE RIDGE |
| Zip Code | 57770 |
| Specialty | OPTOMETRY |
| City + Specialty | PINE RIDGE + OPTOMETRY |
Please comment or provide details below to improve the information on Timothy L Chancellor.
| 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.