Allison Gail Chisholm, MD in Fort Worth, TX

Allison Gail Chisholm, MD is a medicare enrolled "Otolaryngology - Pediatric Otolaryngology" physician in Fort Worth, Texas. Her current practice location is 901 7th Ave, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (682) 885-6850.

Allison Gail Chisholm is licensed to practice in Texas (license number R8449) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295099687.

Contact Information

	Allison Gail Chisholm, MD
	901 7th Ave, Fort Worth, TX 76104-2722
	(682) 885-6850
	(601) 815-6985

Map and Direction

Physician's Profile

Full Name	Allison Gail Chisholm
Gender	Female
Speciality	Otolaryngology - Pediatric Otolaryngology
Location	901 7th Ave, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295099687
Provider Enumeration Date: 06/29/2012
Last Update Date: 09/18/2023

Medicare PECOS Information:

PECOS PAC ID: 0042534927
Enrollment ID: I20180904002546

Medical Identifiers

Medical identifiers for Allison Gail Chisholm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295099687	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	T-2588 (Mississippi)	Secondary
207YP0228X	Otolaryngology - Pediatric Otolaryngology	R8449 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Allison Gail Chisholm allows following entities to bill medicare on her behalf.

Entity Name	Cook Childrens Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Allison Gail Chisholm is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Allison Gail Chisholm, MD Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-1860	Allison Gail Chisholm, MD 901 7th Ave, Fort Worth, TX 76104-2722 Ph: (682) 885-6850

Reviews and Comments

Otolaryngology Doctors in Fort Worth, TX

Dr. Ilene Chiu, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 600 S Main St, Fort Worth, TX 76104 Phone: 817-882-2400
Dr. Lisa Mckay Buckmiller, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 901 7th Ave, Fort Worth, TX 76104 Phone: 682-885-6850 Fax: 682-885-6799
Dr. Brandon Lee Christianson, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4601 Heritage Trace Pkwy, Fort Worth, TX 76244 Phone: 817-431-7985 Fax: 817-431-5031
Stephen J White, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 4601 Heritage Trace Parkway, Fort Worth, TX 76244 Phone: 817-431-7985 Fax: 817-431-5031
Coral Alexandra Ruiz Mojica, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 923 Pennsylvania Ave Ste 100, Fort Worth, TX 76104 Phone: 817-920-0484
Jesse E Smith, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 923 Pennsylvania Avenue, Suite 100, Fort Worth, TX 76104 Phone: 817-920-0484 Fax: 817-920-0068
Dr. Thomas Harold Nagel, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1250 8th Ave # 265, Fort Worth, TX 76104 Phone: 682-200-8580 Fax: 682-200-8581

Allison Gail Chisholm, MD - Medicare Otolaryngology in Fort Worth, TX