Dr Jeffrey K Chism, DPM is a medicare enrolled "Podiatrist" provider in Merrill, Wisconsin. He went to Barry University School Of Podiatric Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Podiatry. His current practice location is
410 E 2nd St, Merrill, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 536-7444.
Dr Jeffrey K Chism is licensed to practice in Wisconsin (license number 748-025) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285621730.
Healthcare Provider's Profile
| Full Name | Dr Jeffrey K Chism |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 28 Years |
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| Location | 410 E 2nd St, Merrill, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jeffrey K Chism attended and graduated from Barry University School Of Podiatric Medicine in 1996
NPI Data:
- NPI Number: 1285621730
- Provider Enumeration Date: 09/30/2005
- Last Update Date: 05/01/2009
Medicare PECOS Information:
- PECOS PAC ID: 2860448818
- Enrollment ID: I20100608000818
Medical Identifiers
Medical identifiers for Dr Jeffrey K Chism such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285621730 | NPI | - | NPPES |
| 43223800 | Medicaid | WI | |
| 000000485016 | Other | WI | WI BLUE SHIELD |
| 1285621730 | Other | WI | BLUE CROSS FEDERAL EMPLOYEE PROGRAM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | 748-025 (Wisconsin) | 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. Dr Jeffrey K Chism allows following entities to bill medicare on his behalf.
| Provider Name | Aspirus Rhinelander & Tomahawk Hospitals & Clinics Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1144991340
PECOS PAC ID: 9335059856
Enrollment ID: O20031126000706 |
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| Provider Name | Advanced Foot & Ankle Center Sc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1285834929
PECOS PAC ID: 5698721645
Enrollment ID: O20050323000748 |
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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. Dr Jeffrey K 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 |
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Dr Jeffrey K Chism, DPM
410 E 2nd St,
Merrill, WI 54452-2319
Ph: (715) 536-7444 | Dr Jeffrey K Chism, DPM
410 E 2nd St,
Merrill, WI 54452-2319
Ph: (715) 536-7444 |
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