Dana Chisholm, CNP - Medicare Nurse Practitioner in Perrysburg, OH

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Dana Chisholm, CNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Perrysburg, Ohio. Her current practice location is 30000 E River Rd # Ed, Perrysburg, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 661-4001.

Dana Chisholm is licensed to practice in Ohio (license number CNP019325) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710339593.

Contact Information

Dana Chisholm, CNP
30000 E River Rd # Ed,
Perrysburg, OH 43551-3429
(419) 661-4001
(419) 661-4015

Map and Direction




Provider's Profile

Full NameDana Chisholm
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location30000 E River Rd # Ed, Perrysburg, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710339593
  • Provider Enumeration Date: 07/06/2016
  • Last Update Date: 02/26/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5799073367
  • Enrollment ID: I20161013002492

Medical Identifiers

Medical identifiers for Dana Chisholm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710339593NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health CNP019325 (Ohio)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. Dana Chisholm allows following entities to bill medicare on her behalf.
Entity NameHospice Of Northwest Ohio
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174859508
PECOS PAC ID: 8527150721
Enrollment ID: O20070817000186
Entity NameKingston Care Partners, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609185180
PECOS PAC ID: 1850589102
Enrollment ID: O20101230000649
Entity NameOhio Living Palliative Care Greater Toledo Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861981656
PECOS PAC ID: 3476803594
Enrollment ID: O20180911000364
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210303002044

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. Dana 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
Dana Chisholm, CNP
1 Seagate Ste 1960,
Toledo, OH 43604-1522

Ph: (419) 247-2880		Dana Chisholm, CNP
30000 E River Rd # Ed,
Perrysburg, OH 43551-3429

Ph: (419) 661-4001

Reviews and Comments


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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.