| Charles Chism, MD | |
|
6411 Fannin St, Houston, TX 77030-1501 | |
| (713) 500-5154 | |
| Not Available |
| Full Name | Charles Chism |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 14 Years |
| Location | 6411 Fannin St, Houston, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386938595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | BP10042269 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tulane Medical Center | New orleans, LA | Hospital |
| West Jefferson Medical Center | Marrero, LA | Hospital |
| New Orleans East Hospital | New orleans, LA | Hospital |
| University Medical Center New Orleans | New orleans, LA | Hospital |
| Ochsner Clinic Foundation | New orleans, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jefferson Radiology Associates, Inc. | 0143289363 | 12 |
| Entity Name | Jefferson Radiology Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366490849 PECOS PAC ID: 0143289363 Enrollment ID: O20041005000144 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Chism, MD 6411 Fannin St, Houston, TX 77030-1501 Ph: () - | Charles Chism, MD 6411 Fannin St, Houston, TX 77030-1501 Ph: (713) 500-5154 |
Dr. Joshua Thomas Blunck, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7026 Old Katy Rd Ste 276, Houston, TX 77024 Phone: 713-621-7426 Fax: 281-674-8308 | |
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Osama Mohamad, MD PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1515 Holcombe Blvd, Houston, TX 77030 Phone: 713-792-6161 | |
Whitney Boyce, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 6431 Fannin St # 2.116, Houston, TX 77030 Phone: 713-500-7643 | |
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