Courtney Ellen Chisholm, in Covington, LA - Medicare Physical Therapist Provider

Courtney Ellen Chisholm, is a medicare enrolled "Physical Therapist" provider in Covington, Louisiana. Her current practice location is 653 Myrtle Dr., Covington, Louisiana. You can reach out to her office (for appointments etc.) via phone at (985) 893-4700.

Courtney Ellen Chisholm is licensed to practice in Louisiana (license number 11722R) 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 1932808516.

Contact Information

	Courtney Ellen Chisholm,
	653 Myrtle Dr., Covington, LA 70433
	(985) 893-4700
	(985) 893-3211

Map and Direction

Healthcare Provider's Profile

Full Name	Courtney Ellen Chisholm
Gender	Female
Speciality	Physical Therapist
Location	653 Myrtle Dr., Covington, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932808516
Provider Enumeration Date: 03/02/2023
Last Update Date: 05/15/2024

Medicare PECOS Information:

PECOS PAC ID: 3678948676
Enrollment ID: I20230405000297

Medical Identifiers

Medical identifiers for Courtney Ellen Chisholm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932808516	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	11722R (Louisiana)	Primary
225100000X	Physical Therapist	(* (Not Available))	Secondary

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. Courtney Ellen Chisholm allows following entities to bill medicare on her behalf.

Provider Name	Kitsap Physical Therapy And Sports Clinic Ps Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1912902347 PECOS PAC ID: 6507762333 Enrollment ID: O20031211000242

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. Courtney Ellen 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
Courtney Ellen Chisholm, 653 Myrtle Dr., Covington, LA 70433 Ph: (985) 893-4700	Courtney Ellen Chisholm, 653 Myrtle Dr., Covington, LA 70433 Ph: (985) 893-4700

Reviews and Comments

Physical Therapist in Covington, LA

Austen Chase Dwight, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 E Boston St, Covington, LA 70433 Phone: 985-630-4489
Lea Anne Krieger, PT, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19105 Sandy Ln, Covington, LA 70433 Phone: 985-792-7700
Laura Eckel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 653 Myrtle Dr, Covington, LA 70433 Phone: 985-893-4700 Fax: 985-893-3211
Christian Paul Stafford, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 70367 S Tyler St Suite 200, #21, Covington, LA 70433 Phone: 985-590-3303
Kevin Gilbert Baer, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 71121 Highway 21 Apt D, Covington, LA 70433 Phone: 985-898-3979 Fax: 985-898-3981
Crystal C. Ferris, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 103 Northpark Blvd, Suite 205, Covington, LA 70433 Phone: 985-871-7878
Jonathan Bonfiglio, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1201 Ochsner Blvd, Suite A, Covington, LA 70433 Phone: 985-801-7145 Fax: 985-801-7146

Courtney Ellen Chisholm, - Medicare Physical Therapist in Covington, LA