Park Thetford Chittom Ii, MD - Medicare Internal Medicine in Selma, AL

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Park Thetford Chittom Ii, MD is a medicare enrolled "Internal Medicine" physician in Selma, Alabama. His current practice location is 509 Parkman Ave, Selma, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 874-9064.

Park Thetford Chittom Ii is licensed to practice in Alabama (license number 21882) 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 1093796047.

Contact Information

Park Thetford Chittom Ii, MD
509 Parkman Ave,
Selma, AL 36701-5734
(334) 874-9064
(334) 874-2633

Map and Direction




Physician's Profile

Full NamePark Thetford Chittom Ii
GenderMale
SpecialityInternal Medicine
Location509 Parkman Ave, Selma, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093796047
  • Provider Enumeration Date: 11/08/2005
  • Last Update Date: 01/21/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 7315033040
  • Enrollment ID: I20071011000163

Medical Identifiers

Medical identifiers for Park Thetford Chittom Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093796047NPI-NPPES
110180090OtherRAILROAD MEDICARE
000045614MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 21882 (Alabama)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. Park Thetford Chittom Ii allows following entities to bill medicare on his behalf.
Entity NameParagon Contracting Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225071459
PECOS PAC ID: 3971417825
Enrollment ID: O20050218000756
Entity NameApp Of Alabama Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659646040
PECOS PAC ID: 3577725068
Enrollment ID: O20120430000174

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. Park Thetford Chittom Ii 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
Park Thetford Chittom Ii, MD
509 Parkman Ave, P.o. Box 530,
Selma, AL 36701-5734

Ph: (334) 874-9064		Park Thetford Chittom Ii, MD
509 Parkman Ave,
Selma, AL 36701-5734

Ph: (334) 874-9064

Reviews and Comments


Internal Medicine Doctors in Selma, AL

Park Thetford Chittom, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 509 Parkman Ave, Selma, AL 36701
Phone: 334-874-9064    Fax: 334-874-2633
Dr. Cyriac Joseph Madathikunnel, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1013 Medical Center Pkwy, Frist Howell Building # 3, Selma, AL 36701
Phone: 334-872-3339    Fax: 334-872-6200
Dr. Jewell Hamner, MD,MBA
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1013 Medical Center Pkwy, Frist - Howell Building Ii, Selma, AL 36701
Phone: 334-875-2266    Fax: 334-875-2277
Subramonium K Das, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1013 Medical Center Pkwy, Building 2, Selma, AL 36701
Phone: 334-875-2266    Fax: 334-875-2277
Thomas Kent Taylor, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 905 Medical Center Pkwy, Selma, AL 36701
Phone: 334-874-6053    Fax: 334-418-0726
Perry Caldwell Debardeleben, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 509 Parkman Ave, Selma, AL 36701
Phone: 334-874-9064    Fax: 334-874-2633

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.