Newton W Chism Jr, MD is a medicare enrolled "Specialist" physician in Dublin, Georgia. His current practice location is
2400 Bellevue Rd, #23 Erin Office Park, Dublin, Georgia. You can reach out to his office (for appointments etc.) via phone at
(478) 272-8580.
Newton W Chism Jr is licensed to practice in Georgia (license number 017442) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366482507.
Physician's Profile
Full Name | Newton W Chism Jr |
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Gender | Male |
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Speciality | Specialist |
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Location | 2400 Bellevue Rd, Dublin, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366482507
- Provider Enumeration Date: 06/07/2006
- Last Update Date: 02/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 0446445845
- Enrollment ID: I20101111000227
Medical Identifiers
Medical identifiers for Newton W Chism Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366482507 | NPI | - | NPPES |
00082233A | Medicaid | GA | |
300030912A | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 017442 (Georgia) | Secondary |
174400000X | Specialist | 017442 (Georgia) | 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. Newton W Chism Jr allows following entities to bill medicare on his behalf.
Entity Name | Community Service Board Of Middle Georgia |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689657637 PECOS PAC ID: 3173518644 Enrollment ID: O20040415000940 |
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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. Newton W Chism Jr 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 |
Newton W Chism Jr, MD 2400 Bellevue Rd, Ste 23, Dublin, GA 31021-2888 Ph: (478) 272-8580 | Newton W Chism Jr, MD 2400 Bellevue Rd, #23 Erin Office Park, Dublin, GA 31021-2885 Ph: (478) 272-8580 |
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