David J Chisholm, CRNA in Tupelo, MS - Medicare Nurse Anesthetist, Certified Registered

David J Chisholm, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tupelo, Mississippi. His current practice location is 830 South Gloster, Tupelo, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 377-4394.

David J Chisholm is licensed to practice in Mississippi (license number R850636) 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 1942383492.

Contact Information

	David J Chisholm, CRNA
	830 South Gloster, Tupelo, MS 38801
	(662) 377-4394
	(662) 377-7045

Map and Direction

Provider's Profile

Full Name	David J Chisholm
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	830 South Gloster, Tupelo, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942383492
Provider Enumeration Date: 10/20/2006
Last Update Date: 11/18/2010

Medicare PECOS Information:

PECOS PAC ID: 1153323837
Enrollment ID: I20070208000588

Medical Identifiers

Medical identifiers for David J Chisholm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942383492	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R850636 (Mississippi)	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. David J Chisholm allows following entities to bill medicare on his behalf.

Entity Name	North Mississippi Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972608347 PECOS PAC ID: 9931010600 Enrollment ID: O20040413000541

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. David J 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
David J Chisholm, CRNA Po Box 3294, Tupelo, MS 38803-3294 Ph: (662) 377-4394	David J Chisholm, CRNA 830 South Gloster, Tupelo, MS 38801 Ph: (662) 377-4394

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tupelo, MS

Lauren Elizabeth Abel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-4394 Fax: 662-377-7045
Sarah Cotton Ashmore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 830 South Gloster, Tupelo, MS 38801 Phone: 662-377-4394 Fax: 662-377-7045
Mr. Bradley W Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-4394 Fax: 662-377-7045
Lauren H. Cook, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-4394 Fax: 662-377-7045
Shannon D Barber, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 830 South Gloster, Tupelo, MS 38801 Phone: 662-377-4394 Fax: 662-377-7045
Jennifer M Little, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 830 South Gloster, Tupelo, MS 38801 Phone: 662-377-4394 Fax: 662-377-7045
Donald R Carter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 830 South Gloster, Tupelo, MS 38801 Phone: 662-377-4394 Fax: 662-377-7045

David J Chisholm, CRNA - Medicare Nurse Anesthetist, Certified Registered in Tupelo, MS