| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ROBERT CHASE MCDONALD | 1285763862 | 2024-11-08 |
Robert Chase Mcdonald is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1285763862. Registration indicates Robert Chase Mcdonald is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Robert Chase Mcdonald PA-C |
| Other Provider Name | Rob Chase Mcdonald |
| Practice Office Address | 1150 N SISTER CATHERINE WAY NAMPA, ID US |
| Practice Office Telephone | 2083027050 |
| Practice Office Fax | 2083027055 |
| Mailing Address | PO BOX 190930 BOISE, ID 837190930 US |
| Business Telephone | 2083675170 |
| Business Fax | 2083675180 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1615 Delaware St | Longview, WA 986322310 | 3604142700 / 3604142714 |
| 745 S Progress Ave | Meridian, ID 836425605 | 2088131958 |
| 6405 S 3000 E Ste 300 | Salt Lake City, UT 841216977 | 8012663113 |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | PA10005181
WA |
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | PA-1451
ID |
| 0221381 | OTHER | WA | LABOR & IND. |
| 8483737 | MEDICAID | WA | |
| 8944544 | OTHER | WA | CRIME VICTIMS |