Faith Pauline Chisum, MD - Medicare Family Medicine in Imperial Beach, CA

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Faith Pauline Chisum, MD is a medicare enrolled "Family Medicine" physician in Imperial Beach, California. Her current practice location is 949 Palm Ave, Imperial Beach, California. You can reach out to her office (for appointments etc.) via phone at (619) 429-3733.

Faith Pauline Chisum is licensed to practice in California (license number A98040) 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 1346432069.

Contact Information

Faith Pauline Chisum, MD
949 Palm Ave,
Imperial Beach, CA 91932-1503
(619) 429-3733
(619) 429-3823

Map and Direction




Physician's Profile

Full NameFaith Pauline Chisum
GenderFemale
SpecialityFamily Medicine
Location949 Palm Ave, Imperial Beach, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346432069
  • Provider Enumeration Date: 08/16/2007
  • Last Update Date: 08/27/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 6002949831
  • Enrollment ID: I20100730000751

Medical Identifiers

Medical identifiers for Faith Pauline Chisum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346432069NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine A98040 (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. Faith Pauline Chisum allows following entities to bill medicare on her behalf.
Entity NameImperial Beach Community Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790718351
PECOS PAC ID: 6709867880
Enrollment ID: O20040525001394

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. Faith Pauline 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
Faith Pauline Chisum, MD
949 Palm Ave,
Imperial Beach, CA 91932-1503

Ph: (619) 429-3733		Faith Pauline Chisum, MD
949 Palm Ave,
Imperial Beach, CA 91932-1503

Ph: (619) 429-3733

Reviews and Comments


Family Medicine Doctors in Imperial Beach, CA

Mr. Vernon Greg Phillips, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 707 Palm Ave, Imperial Beach, CA 91932
Phone: 619-429-7700    Fax: 619-429-7703
Danielle Richardson, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 828 5th St, Imperial Beach, CA 91932
Phone: 913-710-2420    
Parmela Sawhney, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 705 Palm Ave, Imperial Beach, CA 91932
Phone: 619-424-5106    Fax: 619-424-3648
Eric John Leute, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 949 Palm Avenue, Imperial Beach Health Center, Imperial Beach, CA 91932
Phone: 619-429-3733    Fax: 619-628-5550
Samantha Kasi Bodiford, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 949 Palm Ave, Imperial Beach, CA 91932
Phone: 619-429-3733    
Mrs. Danielle Alexis Gordon, FNP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 705 Palm Ave, Imperial Beach, CA 91932
Phone: 619-423-3774    

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.