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

Park Thetford Chittom, MD is a medicare enrolled "Internal Medicine" physician in Selma, Alabama. He went to University Of Mississippi School Of Medicine and graduated in 1969 and has 55 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Selma Doctors Clinic Pc and 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 is licensed to practice in Alabama (license number 5342) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164413308.

Contact Information

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

Map and Direction

Physician's Profile

Full Name	Park Thetford Chittom
Gender	Male
Speciality	Internal Medicine
Experience	55 Years
Location	509 Parkman Ave, Selma, Alabama
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Park Thetford Chittom attended and graduated from University Of Mississippi School Of Medicine in 1969

NPI Data:

NPI Number: 1164413308
Provider Enumeration Date: 11/04/2005
Last Update Date: 01/25/2008

Medicare PECOS Information:

PECOS PAC ID: 3173597689
Enrollment ID: I20101026000318

Medical Identifiers

Medical identifiers for Park Thetford Chittom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164413308	NPI	-	NPPES
000003686	Medicaid	AL
110191475	Other	AL	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	5342 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southerncare New Beacon - Jasper	Jasper, AL	Hospice
Vaughan Regional Medical Center Parkway Campus	Selma, AL	Hospital
Park Place	Selma, AL	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Selma Doctors Clinic Pc	4183698699	3

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 allows following entities to bill medicare on his behalf.

Entity Name	Selma Doctors Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891776050 PECOS PAC ID: 4183698699 Enrollment ID: O20040820001017

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 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
Park Thetford Chittom, MD 509 Parkman Ave, P.o. Box 530, Selma, AL 36701-5734 Ph: (334) 874-9064	Park Thetford Chittom, MD 509 Parkman Ave, Selma, AL 36701-5734 Ph: (334) 874-9064

Reviews and Comments

Internal Medicine Doctors in Selma, AL

Park Thetford Chittom Ii, M.D. Internal Medicine Medicare: Medicare Enrolled 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

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