Individual ProviderEric ChappellAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address12222 Merit Dr Ste 600, Dallas, TX 75251-3294(972) 715-5000(972) 233-1999PECOS EnrollmentBased on the most recent information from CMS, provider Eric Chappell is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1124221445Provider TypeIndividualFull NameChappell, EricTitleDr.CredentialD.O.GenderMaleSole ProprietorNoEnumeration Date6/6/2007Last Updated9/8/2022Contact InformationPractice LocationPractice Address12222 Merit Dr Ste 600, Dallas, TX 75251-3294Phone(972) 715-5000Fax(972) 715-9976Mailing LocationMailing AddressPO Box 840853, Dallas, TX 75284-0853Phone(972) 233-1999Fax(972) 233-3666Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseP7621TexasCode207L00000XDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseA-1606-11New MexicoCode207L00000XDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseOT012239PennsylvaniaProvider IdentifiersIDDescriptionIssuerIDP01445859DescriptionOtherIssuerRAILROADTexasID8EH379DescriptionOtherIssuerBCBSTexasID327867302DescriptionMedicaidIssuerUnlistedTexas