Individual ProviderMason ChasteenPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address619 19th St S, Birmingham, AL 35249(205) 934-4011(205) 731-9701PECOS EnrollmentBased on the most recent information from CMS, provider Mason Chasteen 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 5 days ago.Profile DetailsProvider ID1730558461Provider TypeIndividualFull NameChasteen, MasonCredentialPAGenderFemaleSole ProprietorNoEnumeration Date9/23/2015Last Updated7/19/2018Contact InformationPractice LocationPractice Address619 19th St S, Birmingham, AL 35249Phone(205) 934-4011FaxUnlisted FaxMailing LocationMailing AddressPO Box 55310, Birmingham, AL 35255-5310Phone(205) 731-9701FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA.1306AlabamaCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense2422South CarolinaProvider IdentifiersIDDescriptionIssuerID2691PADescriptionMedicaidIssuerUnlistedSouth Carolina