Physician Compare National (NPI:1891737649)

HEALTHCARE PROVIDER: JEFFREY B CHANDLER PA-C

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1891737649
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0749209278
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20051115000036
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CHANDLER
	Individual professional last name
Provider First Name	JEFFREY
	Individual professional first name
Provider Middle Name	B
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	PA
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2005
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ROSEBUD COMMUNITY HOSPITAL INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3375454168
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	8
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	383 17TH AVE N
	Group Practice or individual's line 1 address
Line 2 Street Address	ROSEBUD HEALTHCARE CENTER
	Group Practice or individual's line 2 address
City	FORSYTH
	Group Practice or individual's city
State	MT
	Group Practice or individual's state
Zip Code	593270268
	Group Practice or individual's zip code (9 digits when available)
Phone Number	4063462161
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	271327
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ROSEBUD HEALTH CARE CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	111331
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MITCHELL COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	111332
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	BROOKS COUNTY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y