Michelle Elizabeth Chisum, is a
Community Health Worker based in Marina, California. Michelle Elizabeth Chisum is licensed to practice in * (Not Available) (license number ) and her current practice location is
3043 Macarthur Dr, Marina, California. She can be reached at her office (for appointments etc.) via phone at
(831) 649-4522.
NPI number for Michelle Elizabeth Chisum is 1124914502 and her current mailing address is 3043 Macarthur Dr, Marina, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124914502.
Healthcare Provider's Profile
Full Name | Michelle Elizabeth Chisum |
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Gender | Female |
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Speciality | Community Health Worker |
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Location | 3043 Macarthur Dr, Marina, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124914502
- Provider Enumeration Date: 06/13/2025
- Last Update Date: 06/13/2025
Medical Identifiers
Medical identifiers for Michelle Elizabeth Chisum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124914502 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
172V00000X | Community Health Worker | (* (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. Michelle Elizabeth Chisum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Michelle Elizabeth Chisum, 3043 Macarthur Dr, Marina, CA 93933-4763 Ph: (831) 649-4522 | Michelle Elizabeth Chisum, 3043 Macarthur Dr, Marina, CA 93933-4763 Ph: (831) 649-4522 |
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