| Jessica Diane Chisam, CRNA | |
|
1000 Fivepoint, Irvine, CA 92618-2377 | |
| (800) 826-4673 | |
| Not Available |
| Full Name | Jessica Diane Chisam |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 1000 Fivepoint, Irvine, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265917280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 95000971 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of California Irvine Medical Center | Orange, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Genesis Healthcare Partners Pc | 2163606807 | 184 |
| Regents Of The University Of | 8729983473 | 191 |
| Entity Name | Regents Of The University Of |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487602546 PECOS PAC ID: 8729983473 Enrollment ID: O20031204001085 |
| Entity Name | Genesis Healthcare Partners Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548567498 PECOS PAC ID: 2163606807 Enrollment ID: O20110405000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Diane Chisam, CRNA Po Box 512185, Los Angeles, CA 90051-0185 Ph: () - | Jessica Diane Chisam, CRNA 1000 Fivepoint, Irvine, CA 92618-2377 Ph: (800) 826-4673 |
Georgie Contakos, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 16300 Sand Canyon Ave, Irvine, CA 92618 Phone: 949-333-7580 | |
Britainie De Garbott, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4082 Belvedere St, Irvine, CA 92604 Phone: 310-547-1766 | |
Miranda Shu-li Chih, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Fivepoint, Irvine, CA 92618 Phone: 949-671-4673 Fax: 949-671-4329 | |
Cheryl Sisler Carr, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15785 Laguna Canyon Rd Ste 100, Irvine, CA 92618 Phone: 949-364-2900 Fax: 949-365-0117 | |
Nancy Y. Christiano, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Fivepoint, Irvine, CA 92618 Phone: 949-671-4673 Fax: 949-671-4329 | |
Mr. Michael Kang Navales, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Fivepoint, Irvine, CA 92618 Phone: 800-826-4673 |