Dr Evgeniya Nikolaevna Chisenhall, MD in Jacksonville, NC

Dr Evgeniya Nikolaevna Chisenhall, MD is a medicare enrolled "Pediatrics" physician in Jacksonville, North Carolina. Her current practice location is 120 Memorial Dr, Jacksonville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 353-0581.

Dr Evgeniya Nikolaevna Chisenhall is licensed to practice in North Carolina (license number 2019-02047) 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 1083060545.

Contact Information

	Dr Evgeniya Nikolaevna Chisenhall, MD
	120 Memorial Dr, Jacksonville, NC 28546
	(910) 353-0581
	(910) 577-1150

Map and Direction

Physician's Profile

Full Name	Dr Evgeniya Nikolaevna Chisenhall
Gender	Female
Speciality	Pediatrics
Location	120 Memorial Dr, Jacksonville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083060545
Provider Enumeration Date: 05/13/2016
Last Update Date: 11/03/2023

Medicare PECOS Information:

PECOS PAC ID: 1355632688
Enrollment ID: I20230517002254

Medical Identifiers

Medical identifiers for Dr Evgeniya Nikolaevna Chisenhall such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083060545	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2019-02047 (North Carolina)	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 Evgeniya Nikolaevna Chisenhall allows following entities to bill medicare on her behalf.

Entity Name	Jacksonville Children's And Multispecialty Clinic, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164519070 PECOS PAC ID: 6709968811 Enrollment ID: O20080129000277

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 Evgeniya Nikolaevna Chisenhall 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
Dr Evgeniya Nikolaevna Chisenhall, MD Po Box 986513, Dept 100, Boston, MA 02298-6513 Ph: (910) 219-8326	Dr Evgeniya Nikolaevna Chisenhall, MD 120 Memorial Dr, Jacksonville, NC 28546 Ph: (910) 353-0581

Reviews and Comments

Pediatrics Doctors in Jacksonville, NC

Michael David Hofmann, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3050 Henderson Dr, Jacksonville, NC 28546 Phone: 910-353-2660 Fax: 910-353-2770
Dr. Anna Skaskiw, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 118 Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-0581 Fax: 910-577-1150
Adriane Kacho Eng-osborne, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 120 Memorial Dr, Jacksonville, NC 28546 Phone: 910-353-0581 Fax: 910-353-1536
Dr. Suzanne Stelmach, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 612 College St, Jacksonville, NC 28540 Phone: 910-347-2154 Fax: 910-347-3165
Dr. Jacquelyn Marie Burnett, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Doctors Dr Ste B, Jacksonville, NC 28546 Phone: 910-634-3555 Fax: 910-442-8826
Dr. Stanley Douglas Taylor, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1201 Country Club Rd, Jacksonville, NC 28546 Phone: 910-347-7773 Fax: 910-347-7792

Dr Evgeniya Nikolaevna Chisenhall, MD - Medicare Pediatrics in Jacksonville, NC