Matthew Chisdock, PA-C is a medicare enrolled "Physician Assistant" in Cooperstown Ny, New York. His current practice location is
Bassett Medical Center, 1 Atwell Rd, Cooperstown Ny, New York. You can reach out to his office (for appointments etc.) via phone at
(607) 547-3456.
Matthew Chisdock is licensed to practice in * (Not Available) (license number ) 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 1629590096.
Provider's Profile
Full Name | Matthew Chisdock |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | Bassett Medical Center, Cooperstown Ny, New York |
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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: 1629590096
- Provider Enumeration Date: 07/07/2017
- Last Update Date: 07/07/2017
Medicare PECOS Information:
- PECOS PAC ID: 2163796285
- Enrollment ID: I20170927003411
Medical Identifiers
Medical identifiers for Matthew Chisdock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629590096 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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. Matthew Chisdock 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 |
Matthew Chisdock, PA-C 106 Valentine St, Moosic, PA 18507-1164 Ph: () - | Matthew Chisdock, PA-C Bassett Medical Center, 1 Atwell Rd, Cooperstown Ny, NY 13326 Ph: (607) 547-3456 |
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