Dr. Marisha E. Chilcott, M.D.
Family Medicine in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1174600985
StatusActive
Last updated in NPPESNov 16, 2021
Details
- NPI
- 1174600985
- Entity type
- Individual (NPI-1)
- Name
- Dr. Marisha E. Chilcott
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 1, 2006
- Certification date
- Nov 16, 2021
- Last updated
- Nov 16, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | a88901 | CA | Yes |
Other names
- Marisha Erika Lockwood-Chilcott (Former Name)
Practice location
2800 Cleveland AveSanta Rosa, CA 95403-2783
Phone 707-800-7568
Mailing address
2800 Cleveland Ave Ste ASanta Rosa, CA 95403-2784
Phone 707-921-7447 · Fax 888-995-0195
Other practice locations
5 Bon Air Rd Ste 107
Larkspur, CA 94939-1137
Larkspur, CA 94939-1137
Phone 415-924-1330
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