Patricia E Chisum, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lumber Bridge, North Carolina. Her current practice location is
8039 Arabia Rd, Lumber Bridge, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 807-0620.
Patricia E Chisum is licensed to practice in North Carolina (license number 0050-03247) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164470266.
Provider's Profile
Full Name | Patricia E Chisum |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 8039 Arabia Rd, Lumber Bridge, North Carolina |
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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: 1164470266
- Provider Enumeration Date: 05/04/2006
- Last Update Date: 07/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 7618934621
- Enrollment ID: I20080131000348
Medical Identifiers
Medical identifiers for Patricia E Chisum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164470266 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 0050-03247 (North Carolina) | 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. Patricia E Chisum allows following entities to bill medicare on her behalf.
Entity Name | Divine Family Practice And Urgent Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477197168 PECOS PAC ID: 1759712383 Enrollment ID: O20200514000320 |
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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. Patricia E Chisum 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 |
Patricia E Chisum, FNP 2300 Ramsey St, Fayetteville, NC 28301-3856 Ph: (704) 807-0620 | Patricia E Chisum, FNP 8039 Arabia Rd, Lumber Bridge, NC 28357-8995 Ph: (704) 807-0620 |
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