MEDICARE: DR. YVONNE RENEE LOWNE-CHASE D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	9900590	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	31551	OTHER	NC	PARTNERS MEDICARE
5	2401007D	OTHER	NC	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	D1811	OTHER	NC	MEDCOST
3	1212E	OTHER	NC	BCBS NC
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	3435329	OTHER	NC	AETNA

General Provider Information

NPI Number	:	1205890696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YVONNE RENEE LOWNE-CHASE D.O.

Provider Business Mailing Address
First Line	:	PO BOX 405633
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30384-5633
Country	:	US
Telephone Number	:	888-563-3282
Fax Number	:

Provider Business Practice Location Address
First Line	:	4810 W WENDOVER AVE
Second Line	:
City	:	JAMESTOWN
State	:	NC
Zip	:	27282-8300
Country	:	US
Telephone Number	:	336-547-8422
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	09/28/2021

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Directions to “ DR. YVONNE RENEE LOWNE-CHASE D.O.” Practice Location

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