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Lynette Chevalier Paris

Pediatrics

Allopathic & Osteopathic Physicians

3020 Childrens Way, Mc - 5064, San Diego, CA 92123-4223

PECOS Enrollment

Based on the most recent information from CMS, provider Lynette Chevalier Paris is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 2:29 PM.

Profile Details

Provider ID
1083721476
Provider Type
Individual
Full Name
Chevalier Paris, Lynette
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
8/23/2006
Last Updated
2/8/2012

Contact Information

Practice Location

3020 Childrens Way, Mc - 5064, San Diego, CA 92123-4223

(858) 966-5841

Unlisted Fax

Mailing Location

3020 Childrens Way, Mc-5077, San Diego, CA 92123-4223

(858) 309-6303

(858) 309-6298

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License G61097 California

Provider Identifiers

ID	Description	Issuer
ID 00G610970	Description Other	Issuer BLUE SHIELD California
ID 00G610970	Description Medicaid	Issuer Unlisted California

Lynette Chevalier Paris

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Bartoletti, Joseph John

Burns, Jane Cary

Kesanapalli Pediatrics Professional Medical Corporation

Wu, Veda C

Kubal, Gargi

Braddock, Adam Lawrence

Sheth, Sarika K.

Grobman, Lillian

Marano, Rachel Marie

Manuel, Peggy L