Jennifer Ellen Chittum, MD - Medicare Pediatrics in Las Vegas, NM

Jennifer Ellen Chittum, MD is a medicare enrolled "Pediatrics" physician in Las Vegas, New Mexico. Her current practice location is 501 7th St, Las Vegas, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 425-3566.

Jennifer Ellen Chittum is licensed to practice in New Mexico (license number MD2009-0114) 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 1083898712.

Contact Information

Jennifer Ellen Chittum, MD
501 7th St,
Las Vegas, NM 87701-3993
(505) 425-3566
Not Available



Physician's Profile

Full NameJennifer Ellen Chittum
GenderFemale
SpecialityPediatrics
Location501 7th St, Las Vegas, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083898712
  • Provider Enumeration Date: 12/17/2007
  • Last Update Date: 02/21/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8224298450
  • Enrollment ID: I20120327000202

Medical Identifiers

Medical identifiers for Jennifer Ellen Chittum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083898712NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD2009-0114 (New Mexico)Primary
208000000XPediatrics N3561 (Texas)Secondary

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. Jennifer Ellen Chittum allows following entities to bill medicare on her behalf.
Entity NameSt. Vincent Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578587150
PECOS PAC ID: 6608775135
Enrollment ID: O20040105000372

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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. Jennifer Ellen Chittum 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
Jennifer Ellen Chittum, MD
501 7th St,
Las Vegas, NM 87701-3993

Ph: (505) 425-3566
Jennifer Ellen Chittum, MD
501 7th St,
Las Vegas, NM 87701-3993

Ph: (505) 425-3566

News Archive

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Pediatrics Doctors in Las Vegas, NM

Dr. Nancy Jane Wright, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 501 Seventh Street, Las Vegas Clinic For Children & Youth, Las Vegas, NM 87701
Phone: 505-425-3566    Fax: 505-425-3568
Mary Starr Schipper, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: Las Vegas Clinic For Children & Youth, 501 7th Street, Las Vegas, NM 87701
Phone: 505-425-3566    Fax: 505-425-3568

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