Dr Carissa Leigh Chalut, DO - Medicare Emergency Medicine in Augusta, GA

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Dr Carissa Leigh Chalut, DO is a medicare enrolled "Emergency Medicine" physician in Augusta, Georgia. She graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Olympia Emergency Services Pllc and her current practice location is 1120 15th St, Augusta, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 721-2613.

Dr Carissa Leigh Chalut is licensed to practice in Washington (license number OP61130040) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1801201413.

Contact Information

Dr Carissa Leigh Chalut, DO
1120 15th St,
Augusta, GA 30912-0004
(706) 721-2613
Not Available

Map and Direction




Physician's Profile

Full NameDr Carissa Leigh Chalut
GenderFemale
SpecialityEmergency Medicine
Experience11 Years
Location1120 15th St, Augusta, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Carissa Leigh Chalut graduated from medical school in 2014
  NPI Data:
  • NPI Number: 1801201413
  • Provider Enumeration Date: 06/23/2014
  • Last Update Date: 12/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6608120217
  • Enrollment ID: I20210920000004

Medical Identifiers

Medical identifiers for Dr Carissa Leigh Chalut such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801201413NPI-NPPES
56647-95MedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine R9196 (Texas)Secondary
207PE0004XEmergency Medicine - Emergency Medical Services 6812 (Georgia)Secondary
207P00000XEmergency Medicine OP61130040 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence St Peter HospitalOlympia, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Olympia Emergency Services Pllc933503563332

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 Carissa Leigh Chalut allows following entities to bill medicare on her behalf.
Entity NameOlympia Emergency Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346267796
PECOS PAC ID: 9335035633
Enrollment ID: O20040224000907
Entity NameNorthwest Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235172370
PECOS PAC ID: 3476462334
Enrollment ID: O20041214000892
Entity NameNorthwest Observation Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023539376
PECOS PAC ID: 9032480942
Enrollment ID: O20170810000470
Entity NameOlympia Emergency Care Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396498671
PECOS PAC ID: 2769862036
Enrollment ID: O20220704000366

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 Carissa Leigh Chalut 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 AddressPractice Location Address
Dr Carissa Leigh Chalut, DO
1120 15th St,
Augusta, GA 30912-0004

Ph: () -		Dr Carissa Leigh Chalut, DO
1120 15th St,
Augusta, GA 30912-0004

Ph: (706) 721-2613

Reviews and Comments


Emergency Medicine Doctors in Augusta, GA

Stephen A. Shiver, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-4951    Fax: 706-721-7941
Dr. Anuj Pankaj Jani, BMBS
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-0211    
Sunita Jena, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-2613    
Dr. Joshua Berk,
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 603-988-9611    
Dr. Kasci Deanne Pelucarte, D.O.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 803-634-6545    
Jedidiah Amos Ballard, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-724-6100    
Richard B. Schwartz, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1120 15th St, Augusta, GA 30912
Phone: 706-721-4951    Fax: 706-721-7941

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.