Charlotte Baillieul, CNP, RN, LICSW is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Jamaica Plain, Massachusetts. Her current practice location is
1125 Centre St, Jamaica Plain, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 645-5249.
Charlotte Baillieul is licensed to practice in Massachusetts (license number RN2312255) 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 1235436171.
Healthcare Provider's Profile
Full Name | Charlotte Baillieul |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Psychiatric/mental Health |
---|
Location | 1125 Centre St, Jamaica Plain, Massachusetts |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235436171
- Provider Enumeration Date: 02/11/2011
- Last Update Date: 10/04/2018
Medicare PECOS Information:
- PECOS PAC ID: 9638423569
- Enrollment ID: I20181113001750
Medical Identifiers
Medical identifiers for Charlotte Baillieul such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235436171 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 118396 (Massachusetts) | Secondary |
163WP0808X | Registered Nurse - Psychiatric/mental Health | RN2312255 (Massachusetts) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN2312255 (Massachusetts) | Primary |
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. Charlotte Baillieul allows following entities to bill medicare on her behalf.
Entity Name | Family And Community Solutions Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1922043876 PECOS PAC ID: 6901898220 Enrollment ID: O20040330000671 |
---|
Entity Name | Child And Family Psychological Services Pllc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1912987181 PECOS PAC ID: 5991763823 Enrollment ID: O20041227000004 |
---|
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. Charlotte Baillieul 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 Address | Practice Location Address |
Charlotte Baillieul, CNP, RN, LICSW 42 8th St Apt 2110, Charlestown, MA 02129-4217 Ph: (617) 645-5249 | Charlotte Baillieul, CNP, RN, LICSW 1125 Centre St, Jamaica Plain, MA 02130 Ph: (617) 645-5249 |
Reviews and Comments