Derek Barrett Chism, MD | |
17 Centennial Dr Radiation Oncology, Peabody, MA 01960 | |
(978) 977-9400 | |
(978) 538-0341 |
Full Name | Derek Barrett Chism |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 25 Years |
Location | 17 Centennial Dr Radiation Oncology, Peabody, Massachusetts |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760584130 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 220136 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Massachusetts General Hospital | Boston, MA | Hospital |
North Shore Medical Center - | Salem, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Massachusetts General Physicians Organization Inc | 2466365820 | 3084 |
The General Hospital Corporation | 6507803806 | 1058 |
Entity Name | Massachusetts General Physicians Organization Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
Entity Name | The General Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
Mailing Address | Practice Location Address |
---|---|
Derek Barrett Chism, MD North Shore Health Systems, 81 Highland Ave, Salem, MA 01970 Ph: (978) 354-4173 | Derek Barrett Chism, MD 17 Centennial Dr Radiation Oncology, Peabody, MA 01960 Ph: (978) 977-9400 |
Stephen Howard Karshbaum, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Orthopedic Dr, Peabody, MA 01960 Phone: 978-818-6272 Fax: 978-818-6282 | |
Songja C Choe, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 17 Centennial Dr, Radiation Oncology, Peabody, MA 01960 Phone: 978-977-9400 Fax: 978-538-0341 | |
Dr. Janet Hope Sherman, MD Radiology Medicare: Medicare Enrolled Practice Location: 1 Orthopedic Dr, Peabody, MA 01960 Phone: 978-818-6272 Fax: 978-818-6282 | |
Eric T Weber, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 17 Centennial Dr Radiation Onecology, Peabody, MA 01960 Phone: 978-977-9400 Fax: 978-538-0341 | |
Dr. Andrew Polony, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 10 Dearborn Rd, Peabody, MA 01960 Phone: 978-998-6821 | |
Walter Friedrich Sall, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 17 Centennial Dr, Peabody, MA 01960 Phone: 978-977-9400 Fax: 978-538-0341 |