Andrew P Chisholm, CRNA in Providence, RI - Medicare Certified Registered Nurse Anesthetist (crna)

Andrew P Chisholm, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Providence, Rhode Island. He went to Northeastern Ohio University College Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Affinity Physicians Llc., Lifespan Physician Group Inc and his current practice location is 593 Eddy Street, Davol 129, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 444-4933.

Andrew P Chisholm is licensed to practice in Rhode Island (license number APRN00282) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063650976.

Contact Information

	Andrew P Chisholm, CRNA
	593 Eddy Street, Davol 129, Providence, RI 02903-4923
	(401) 444-4933
	(401) 444-5090

Map and Direction

Provider's Profile

Full Name	Andrew P Chisholm
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	16 Years
Location	593 Eddy Street, Providence, Rhode Island
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Andrew P Chisholm attended and graduated from Northeastern Ohio University College Of Medicine in 2008

NPI Data:

NPI Number: 1063650976
Provider Enumeration Date: 01/30/2009
Last Update Date: 03/16/2023

Medicare PECOS Information:

PECOS PAC ID: 6608933387
Enrollment ID: I20090325000010

Medical Identifiers

Medical identifiers for Andrew P Chisholm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063650976	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RNA00047-G (Rhode Island)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	RNA36690 (Rhode Island)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	APRN00282 (Rhode Island)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Rhode Island Hospital	Providence, RI	Hospital
Women & Infants Hospital Of Rhode Island	Providence, RI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Affinity Physicians Llc.	0244413391	616
Lifespan Physician Group Inc	2567455082	634

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. Andrew P Chisholm allows following entities to bill medicare on his behalf.

Entity Name	Affinity Physicians Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184944662 PECOS PAC ID: 0244413391 Enrollment ID: O20110326000053

Entity Name	Lifespan Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053782466 PECOS PAC ID: 2567455082 Enrollment ID: O20160121000235

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. Andrew P 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
Andrew P Chisholm, CRNA One Virginia Avenue, Suite 201, Providence, RI 02905 Ph: (401) 490-0916	Andrew P Chisholm, CRNA 593 Eddy Street, Davol 129, Providence, RI 02903-4923 Ph: (401) 444-4933

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Providence, RI

Brian F Girard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090
Peter W Wolferseder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090
Marie A Mills, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090
Beth Vanpraag, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090
Paulette Champion, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090
Angela Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090
Garrick Mark Whitlock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 825 Chalkstone Ave, Providence, RI 02908 Phone: 401-456-2000

Andrew P Chisholm, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Providence, RI