Roy D Chisholm Iii, MD - Medicare General Surgery in Cumberland, MD

Roy D Chisholm Iii, MD is a medicare enrolled "Surgery" physician in Cumberland, Maryland. He went to University Of Kentucky College Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Allegany Surgical Associates, Upmc Western Maryland Health Services Llc and his current practice location is 12502 Willowbrook Rd, Suite 500, Cumberland, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 724-8847.

Roy D Chisholm Iii is licensed to practice in Maryland (license number D34362) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275550279.

Contact Information

Roy D Chisholm Iii, MD
12502 Willowbrook Rd, Suite 500,
Cumberland, MD 21502-6491
(301) 724-8847
(301) 724-7016



Physician's Profile

Full NameRoy D Chisholm Iii
GenderMale
SpecialityGeneral Surgery
Experience40 Years
Location12502 Willowbrook Rd, Cumberland, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Roy D Chisholm Iii attended and graduated from University Of Kentucky College Of Medicine in 1984
  NPI Data:
  • NPI Number: 1275550279
  • Provider Enumeration Date: 07/16/2006
  • Last Update Date: 03/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2668519414
  • Enrollment ID: I20091027000586

Medical Identifiers

Medical identifiers for Roy D Chisholm Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275550279NPI-NPPES
0126225000OtherWVWV MEDICAID
531441100MedicaidMD
425241OtherMDMAMSI
1344505OtherMDUNITED HEALTHCARE
424535OtherMDCAREFIRST BLUE SHIELD
2530906005OtherMDCIGNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery D34362 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Western Maryland Regional Medical CenterCumberland, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Allegany Surgical Associates00422276882
Upmc Western Maryland Health Services Llc7113396011151

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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. Roy D Chisholm Iii allows following entities to bill medicare on his behalf.
Entity NameUpmc Western Maryland Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184769952
PECOS PAC ID: 7113900655
Enrollment ID: O20040608000157

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Entity NameAllegany Surgical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134217300
PECOS PAC ID: 0042227688
Enrollment ID: O20060307000697

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Entity NameUpmc Western Maryland Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447976584
PECOS PAC ID: 7113396011
Enrollment ID: O20221216000041

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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. Roy D Chisholm Iii 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
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

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Surgery Doctors in Cumberland, MD

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    

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