William C Chisholm, MD - Medicare Emergency Medicine in Hazlehurst, GA

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William C Chisholm, MD is a medicare enrolled "Emergency Medicine" physician in Hazlehurst, Georgia. His current practice location is 163 S Tallahassee St, Hazlehurst, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 375-7781.

William C Chisholm is licensed to practice in Georgia (license number 033291) 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 1114905742.

Contact Information

William C Chisholm, MD
163 S Tallahassee St,
Hazlehurst, GA 31539-6465
(912) 375-7781
(912) 375-4055

Map and Direction




Physician's Profile

Full NameWilliam C Chisholm
GenderMale
SpecialityEmergency Medicine
Location163 S Tallahassee St, Hazlehurst, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114905742
  • Provider Enumeration Date: 01/04/2006
  • Last Update Date: 08/07/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1355231168
  • Enrollment ID: I20040721001168

Medical Identifiers

Medical identifiers for William C Chisholm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114905742NPI-NPPES
00512564AAMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 033291 (Georgia)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. William C Chisholm allows following entities to bill medicare on his behalf.
Entity NameEmergency Medicine Services Of Fl Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043917180
PECOS PAC ID: 8426413931
Enrollment ID: O20230504001881

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. William C Chisholm 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
William C Chisholm, MD
Po Box 1839,
Thomson, GA 30824-5839

Ph: (706) 466-1751		William C Chisholm, MD
163 S Tallahassee St,
Hazlehurst, GA 31539-6465

Ph: (912) 375-7781

Reviews and Comments


Emergency Medicine Doctors in Hazlehurst, GA

Brandon H. Anderson, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 163 S Tallahassee St, Hazlehurst, GA 31539
Phone: 912-375-7781    Fax: 912-375-4055
Leroy Winfield Jr., M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 163 S Tallahassee St, Hazlehurst, GA 31539
Phone: 912-375-7781    Fax: 912-375-4055
Vijay K. Mahathre, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 163 S Tallahassee St, Hazlehurst, GA 31539
Phone: 912-375-7781    Fax: 912-375-4055
Dr. Roger John Venable, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 163 S Tallahassee St, Hazlehurst, GA 31539
Phone: 912-375-7781    
John J Rogers, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 163 S Tallahassee St, Hazlehurst, GA 31539
Phone: 912-375-7781    

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.