Tony Dean Chism, in Jonesboro, AR - Medicare Nurse Practitioner

Tony Dean Chism, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Jonesboro, Arkansas. His current practice location is 2712 E Johnson Ave, Jonesboro, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 932-2800.

Tony Dean Chism is licensed to practice in Arkansas (license number 214796) 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 1699360297.

Contact Information

	Tony Dean Chism,
	2712 E Johnson Ave, Jonesboro, AR 72405-1874
	(870) 932-2800
	Not Available

Map and Direction

Provider's Profile

Full Name	Tony Dean Chism
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2712 E Johnson Ave, Jonesboro, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699360297
Provider Enumeration Date: 03/05/2021
Last Update Date: 03/05/2021

Medicare PECOS Information:

PECOS PAC ID: 3173924321
Enrollment ID: I20210625001940

Medical Identifiers

Medical identifiers for Tony Dean Chism such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699360297	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	214796 (Arkansas)	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. Tony Dean Chism allows following entities to bill medicare on his behalf.

Entity Name	Texarkana Behavioral Associates Lc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467483677 PECOS PAC ID: 9436062379 Enrollment ID: O20040223000353

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. Tony Dean Chism 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
Tony Dean Chism, 4 S Hileah Trce, Cherokee Village, AR 72529-5814 Ph: () -	Tony Dean Chism, 2712 E Johnson Ave, Jonesboro, AR 72405-1874 Ph: (870) 932-2800

Reviews and Comments

Nurse Practitioner Nurses in Jonesboro, AR

Mrs. Renata Jane Vaughn, APN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1530 N Church St, Jonesboro, AR 72401 Phone: 870-802-3590 Fax: 870-327-7970
Sandra Troxel, DNP/APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2816 Fox Meadow Ln, Jonesboro, AR 72404 Phone: 870-336-1675
Jesse Ash, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-207-4100
Ms. Amy Mary Elizabeth Daughhetee, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 East Washington Ave, Jonesboro, AR 72401 Phone: 870-207-4100
Candice Brianne Burnside, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401 Phone: 870-207-1630
Heather Stallings, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1021 Neil Dr, Jonesboro, AR 72401 Phone: 870-898-0088
Katie J Hutton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 Carson St, Jonesboro, AR 72401 Phone: 870-910-7726

Tony Dean Chism, - Medicare Nurse Practitioner in Jonesboro, AR