Andrea Chisholm, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Cody, Wyoming. She went to Boston University School Of Medicine and graduated in 1995 and has 30 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice West Park Hospital District and her current practice location is
424 Yellowstone Ave Ste 330, Cody, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 578-2770.
Andrea Chisholm is licensed to practice in Wyoming (license number 11313A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265571046.
Physician's Profile
| Full Name | Andrea Chisholm |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 30 Years |
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| Location | 424 Yellowstone Ave Ste 330, Cody, Wyoming |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Andrea Chisholm attended and graduated from Boston University School Of Medicine in 1995
NPI Data:
- NPI Number: 1265571046
- Provider Enumeration Date: 02/06/2007
- Last Update Date: 10/05/2020
Medicare PECOS Information:
- PECOS PAC ID: 0547294563
- Enrollment ID: I20180110003063
Medical Identifiers
Medical identifiers for Andrea Chisholm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265571046 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 155750 (Massachusetts) | Secondary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 155750 (Massachusetts) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 11313A (Wyoming) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| West Park Hospital District | 7315855624 | 52 |
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. Andrea Chisholm allows following entities to bill medicare on her behalf.
| Entity Name | West Park Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558351536
PECOS PAC ID: 7315855624
Enrollment ID: O20040127000865 |
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| Entity Name | West Park Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477192243
PECOS PAC ID: 7315855624
Enrollment ID: O20240419000724 |
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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. Andrea 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 |
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Andrea Chisholm, MD
707 Sheridan Ave,
Cody, WY 82414-3409
Ph: (307) 527-7501 | Andrea Chisholm, MD
424 Yellowstone Ave Ste 330,
Cody, WY 82414
Ph: (307) 578-2770 |
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