Chauntel Monique Chisolm, LMFT in Bronx, NY - Medicare Marriage & Family Therapist Provider

Chauntel Monique Chisolm, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Bronx, New York. Her current practice location is 1529 Williamsbridge Rd, Bronx, New York. You can reach out to her office (for appointments etc.) via phone at (718) 794-8464.

Chauntel Monique Chisolm is licensed to practice in New York (license number 001290) 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 1184147084.

Contact Information

	Chauntel Monique Chisolm, LMFT
	1529 Williamsbridge Rd, Bronx, NY 10461-2502
	(718) 794-8464
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Chauntel Monique Chisolm
Gender	Female
Speciality	Marriage & Family Therapist
Location	1529 Williamsbridge Rd, Bronx, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184147084
Provider Enumeration Date: 07/23/2017
Last Update Date: 07/23/2017

Medicare PECOS Information:

PECOS PAC ID: 4587007471
Enrollment ID: I20240207003607

Medical Identifiers

Medical identifiers for Chauntel Monique Chisolm such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184147084	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	001290 (New York)	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. Chauntel Monique Chisolm allows following entities to bill medicare on her behalf.

Entity Name	The Guidance Center Of Westchester, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861506974 PECOS PAC ID: 8325939432 Enrollment ID: O20040319001647

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. Chauntel Monique Chisolm 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
Chauntel Monique Chisolm, LMFT 1519 Metropolitan Ave, Bronx, NY 10462-6170 Ph: (718) 664-0478	Chauntel Monique Chisolm, LMFT 1529 Williamsbridge Rd, Bronx, NY 10461-2502 Ph: (718) 794-8464

Reviews and Comments

Marriage & Family Therapist in Bronx, NY

Nieasha Grant, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1458 Stickney Pl, Bronx, NY 10469 Phone: 929-224-2086
Ms. Quinelle Hickman, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 920 Metcalf Ave, Bronx, NY 10473 Phone: 646-883-0758
Lina Coleman, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 522 Courtlandt Ave, Bronx, NY 10451 Phone: 718-312-6482
Erela Pearl, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2488 Grand Concourse, Bronx, NY 10458 Phone: 718-881-7600
Ms. Irina Gubenko, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3580 Netherland Ave, Bronx, NY 10463 Phone: 646-246-7079
Mrs. Sherly Raymond, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 43 Westchester Sq Ste 3, Bronx, NY 10461 Phone: 347-278-1044
Mrs. Angela Maria Grosso-toscano, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1510 Waters Pl, Bronx, NY 10461 Phone: 347-493-8501

Chauntel Monique Chisolm, LMFT - Medicare Couples Therapy in Bronx, NY