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DR. JERRY LYNN CHASTAIN JR. M.D.
NPI 1073752671
Student in an Organized Health Care Education/Training Program in Modesto, CA

Active since February 05, 2009PECOS EnrolledAccepts Medicare Assignment
401 PARADISE ROAD, SUITE E, MODESTO, CA 95351(209) 558-4000 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jerry Lynn Chastain Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY LYNN CHASTAIN JR. M.D. (NPI 1073752671) is an individual student in an organized health care education/training program in Modesto, California and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1073752671
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JERRY LYNN CHASTAIN JR.Credential: M.D.
Location Address401 PARADISE ROAD, SUITE EModesto, CA 95351
Mailing Address401 Paradise Road, Suite EModesto, CA 95351 · (209) 558-4000
Phone(209) 558-4000
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateFebruary 5, 2009
Last NPPES UpdateJanuary 24, 2022
NPPES CertifiedJanuary 24, 2022
✔ NPI 1073752671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

401 PARADISE ROAD, Modesto, CA 95351
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jerry Lynn Chastain Jr. M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234326083
PECOS Enrollment IDI20101207000209
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTOR Y. CHEN M.D.
Family Medicine
401 PARADISE ROAD, SUITE E
MODESTO, CA 95351
Stanislaus County (209) 558-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Chastain's NPI number?

The NPI number for Jerry Chastain is 1073752671. It was assigned to this individual provider in the NPPES registry on February 5, 2009.

Where is Jerry Chastain located?

Jerry Chastain practices at 401 Paradise Road Suite E, Modesto, CA 95351. The listed phone number is (209) 558-4000.

What is Jerry Chastain's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jerry Chastain enrolled in Medicare?

Yes. Jerry Chastain is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jerry Chastain was last updated on January 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.