Dr Charles Richard Chamblee Jr, DMIN; MDIV; LAC in Little Rock, AR

Dr Charles Richard Chamblee Jr, DMIN; MDIV; LAC is a medicare enrolled "Counselor - Professional" provider in Little Rock, Arkansas. His current practice location is 11321 Interstate 30, Suite 304, Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 202-7587.

Dr Charles Richard Chamblee Jr is licensed to practice in Arkansas (license number A1203022) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1285979609.

Contact Information

	Dr Charles Richard Chamblee Jr, DMIN; MDIV; LAC
	11321 Interstate 30, Suite 304, Little Rock, AR 72209-7067
	(501) 202-7587
	(501) 202-7513

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Charles Richard Chamblee Jr
Gender	Male
Speciality	Counselor - Professional
Location	11321 Interstate 30, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285979609
Provider Enumeration Date: 12/11/2012
Last Update Date: 02/01/2024

Medicare PECOS Information:

PECOS PAC ID: 0345685723
Enrollment ID: I20240226000105

Medical Identifiers

Medical identifiers for Dr Charles Richard Chamblee Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285979609	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	A1203022 (Arkansas)	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. Dr Charles Richard Chamblee Jr allows following entities to bill medicare on his behalf.

Entity Name	Arkansas Health Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871959874 PECOS PAC ID: 7911802079 Enrollment ID: O20141029001863

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. Dr Charles Richard Chamblee Jr 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
Dr Charles Richard Chamblee Jr, DMIN; MDIV; LAC 11001 Executive Center Dr Ste 200, Little Rock, AR 72211-4393 Ph: (501) 202-7587	Dr Charles Richard Chamblee Jr, DMIN; MDIV; LAC 11321 Interstate 30, Suite 304, Little Rock, AR 72209-7067 Ph: (501) 202-7587

Reviews and Comments

Counselor in Little Rock, AR

Crystal Ann Mcmullen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5918 Lee Ave, Little Rock, AR 72205 Phone: 501-669-2199
Colleen Stone, MHPP Counselor Medicare: Not Enrolled in Medicare Practice Location: 20400 Col Glenn Rd, Little Rock, AR 72210 Phone: 501-821-5500
Mrs. Adrienne Reeves, L.P.E. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Aldersgate Rd, Little Rock, AR 72205 Phone: 501-821-5459 Fax: 501-821-6116
Chris Beasley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9819 Margie Cir, Little Rock, AR 72209 Phone: 501-319-2521
David Laser Jr., BS, MBA, CIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3700 W 65th St, Little Rock, AR 72209 Phone: 479-806-0469
Crystal Goins, QBHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 20400 Colonel Glenn Rd, Little Rock, AR 72210 Phone: 501-821-5500
Abigail Campbell, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Lile Ct Ste 200, Little Rock, AR 72205 Phone: 479-964-2011

Dr Charles Richard Chamblee Jr, DMIN; MDIV; LAC - Medicare Counselor in Little Rock, AR