Michael Stephen Chisum, MD in Issaquah, WA

Michael Stephen Chisum, MD is a medicare enrolled "Surgery" physician in Issaquah, Washington. His current practice location is 751 Ne Blakely Dr Ste 4020, Issaquah, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 313-7124.

Michael Stephen Chisum is licensed to practice in Washington (license number MD61170311) 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 1265963771.

Contact Information

	Michael Stephen Chisum, MD
	751 Ne Blakely Dr Ste 4020, Issaquah, WA 98029-6201
	(425) 313-7124
	(425) 313-7072

Map and Direction

Physician's Profile

Full Name	Michael Stephen Chisum
Gender	Male
Speciality	Surgery
Location	751 Ne Blakely Dr Ste 4020, Issaquah, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265963771
Provider Enumeration Date: 03/26/2017
Last Update Date: 12/01/2022

Medicare PECOS Information:

PECOS PAC ID: 6204107550
Enrollment ID: I20220823002875

Medical Identifiers

Medical identifiers for Michael Stephen Chisum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265963771	NPI	-	NPPES
2084042	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	MD61170311 (Washington)	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. Michael Stephen Chisum allows following entities to bill medicare on his behalf.

Entity Name	Swedish Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689612954 PECOS PAC ID: 0244138196 Enrollment ID: O20031230000187

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. Michael Stephen 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 Address	Practice Location Address
Michael Stephen Chisum, MD Po Box 25608, Salt Lake City, UT 84125-0608 Ph: (206) 320-4476	Michael Stephen Chisum, MD 751 Ne Blakely Dr Ste 4020, Issaquah, WA 98029-6201 Ph: (425) 313-7124

Reviews and Comments

Surgery Doctors in Issaquah, WA

Dr. Brian J Plaskon, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 6505 226th Pl Se, Suite 101, Issaquah, WA 98027 Phone: 425-313-0775 Fax: 425-313-4704
Dr. Ramandeep Singh Sidhu, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1301 4th Ave Nw, 302, Issaquah, WA 98027 Phone: 425-250-9999
Aileen Macatangay Hwang, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 751 Ne Blakely Dr, Suite 4020, Issaquah, WA 98029 Phone: 425-313-7124 Fax: 425-313-7072
Dr. Imanta Edward Freimanis, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 6505 226th Pl Se, Suite 101, Issaquah, WA 98027 Phone: 425-313-0775 Fax: 425-313-4704
Dr. Shireesh Saurabh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 751 Ne Blakely Dr Ste 4500, Issaquah, WA 98029 Phone: 206-215-2090 Fax: 206-215-3099
Kimberly Lu, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1505 Nw Gilman Blvd, Suite 4, Issaquah, WA 98027 Phone: 425-392-8282 Fax: 425-391-2957

Michael Stephen Chisum, MD - Medicare Surgery in Issaquah, WA