Evan Chisum, MD - Medicare Emergency Medicine in Sacramento, CA

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Evan Chisum, MD is a medicare enrolled "Emergency Medicine" physician in Sacramento, California. His current practice location is 4001 J St, Sacramento, California. You can reach out to his office (for appointments etc.) via phone at (330) 493-4443.

Evan Chisum is licensed to practice in California (license number A78813) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1811037716.

Contact Information

Evan Chisum, MD
4001 J St,
Sacramento, CA 95819-3626
(330) 493-4443
Not Available

Map and Direction




Physician's Profile

Full NameEvan Chisum
GenderMale
SpecialityEmergency Medicine
Location4001 J St, Sacramento, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811037716
  • Provider Enumeration Date: 02/08/2007
  • Last Update Date: 06/20/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 5395898019
  • Enrollment ID: I20090728000778

Medical Identifiers

Medical identifiers for Evan Chisum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811037716NPI-NPPES
00A788130MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine A78813 (California)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. Evan Chisum allows following entities to bill medicare on his behalf.
Entity NamePacific Redwood Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033103676
PECOS PAC ID: 5496652703
Enrollment ID: O20031215000997
Entity NameTeam Physicians Of California Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447288345
PECOS PAC ID: 8224945084
Enrollment ID: O20040920000880
Entity NamePetaluma Emergency Physicians Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649201898
PECOS PAC ID: 2365478914
Enrollment ID: O20050714000510
Entity NameErx Plus Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336508407
PECOS PAC ID: 6800192428
Enrollment ID: O20220928003168
Entity NameErx Hospitalist Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699199562
PECOS PAC ID: 6608009279
Enrollment ID: O20221113000053

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. Evan Chisum 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
Evan Chisum, MD
150 Cashman Cir,
Sacramento, CA 95835-1606

Ph: (916) 419-8841		Evan Chisum, MD
4001 J St,
Sacramento, CA 95819-3626

Ph: (330) 493-4443

Reviews and Comments


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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.