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Monica Chelsea Spitzer Chisholm

Student in an Organized Health Care Education/Training Program

Student, Health Care

505 S. Main St, Suite 525, Orange, CA 92868

PECOS Enrollment

This provider is enrolled in PECOS as MONICA CHISHOLM.

Based on the most recent information from CMS, provider Monica Chelsea Spitzer Chisholm is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:43 AM.

Profile Details

Provider ID
1679109672
Provider Type
Individual
Full Name
Chisholm, Monica Chelsea Spitzer
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
3/21/2020
Last Updated
8/4/2022

Contact Information

Practice Location

505 S. Main St, Suite 525, Orange, CA 92868

(714) 456-5631

(714) 285-0389

Mailing Location

1201 W La Veta Ave, Orange, CA 92868-4203

(714) 509-8430

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Monica Chelsea Spitzer Chisholm

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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