| Roy D Chisholm Iii, MD | |
|
12502 Willowbrook Rd, Suite 500, Cumberland, MD 21502-6491 | |
| (301) 724-8847 | |
| (301) 724-7016 |
| Full Name | Roy D Chisholm Iii |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 41 Years |
| Location | 12502 Willowbrook Rd, Cumberland, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275550279 | NPI | - | NPPES |
| 0126225000 | Other | WV | WV MEDICAID |
| 531441100 | Medicaid | MD | |
| 425241 | Other | MD | MAMSI |
| 1344505 | Other | MD | UNITED HEALTHCARE |
| 424535 | Other | MD | CAREFIRST BLUE SHIELD |
| 2530906005 | Other | MD | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | D34362 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Western Maryland Regional Medical Center | Cumberland, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Upmc Western Maryland Health Services Llc | 7113396011 | 153 |
| Entity Name | Upmc Western Maryland Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184769952 PECOS PAC ID: 7113900655 Enrollment ID: O20040608000157 |
| Entity Name | Allegany Surgical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134217300 PECOS PAC ID: 0042227688 Enrollment ID: O20060307000697 |
| Entity Name | Upmc Western Maryland Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447976584 PECOS PAC ID: 7113396011 Enrollment ID: O20221216000041 |
| Mailing Address | Practice Location Address |
|---|---|
| Roy D Chisholm Iii, MD 12502 Willowbrook Rd, Suite 500, Cumberland, MD 21502-6491 Ph: (301) 724-8847 | Roy D Chisholm Iii, MD 12502 Willowbrook Rd, Suite 500, Cumberland, MD 21502-6491 Ph: (301) 724-8847 |
Dr. Mark G Nelson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 12502 Willowbrook Rd, Suite 470, Cumberland, MD 21502 Phone: 240-964-8724 Fax: 240-964-8735 | |
Dr. Robert John Carpenter, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 911 Seton Dr, Cumberland, MD 21502 Phone: 301-777-7172 Fax: 301-759-3332 | |
Dr. Philip John Schroeder, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 600 Memorial Ave, Ste 402, Cumberland, MD 21502 Phone: 301-724-7666 Fax: 701-724-1318 | |
Dr. Michael William Stasko, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 924 Seton Dr, Cumberland, MD 21502 Phone: 301-724-8877 Fax: 301-724-2683 | |
Emme Chapman Jackson, Surgery Medicare: Accepting Medicare Assignments Practice Location: 12502 Willowbrook Rd Ste 450, Cumberland, MD 21502 Phone: 240-964-8931 Fax: 240-964-8932 | |
Milton Lum, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 12502 Willowbrook Rd, Suite 500, Cumberland, MD 21502 Phone: 301-724-8847 |