Charles Eshel Stith Iii, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Hampton, Virginia. His current practice location is
23 Manhattan Sq, Hampton, Virginia. You can reach out to his office (for appointments etc.) via phone at
(757) 668-2200.
Charles Eshel Stith Iii is licensed to practice in Virginia (license number 0024181317) 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 1770183303.
Physician's Profile
| Full Name | Charles Eshel Stith Iii |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 23 Manhattan Sq, Hampton, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770183303
- Provider Enumeration Date: 11/01/2020
- Last Update Date: 10/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 0840664371
- Enrollment ID: I20230323000430
Medical Identifiers
Medical identifiers for Charles Eshel Stith Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770183303 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 0001267153 (Virginia) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 0024181317 (Virginia) | 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. Charles Eshel Stith Iii allows following entities to bill medicare on his behalf.
| Entity Name | Childrens Specialty Group Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255354130
PECOS PAC ID: 5890788764
Enrollment ID: O20040406001195 |
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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. Charles Eshel Stith 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 Address | Practice Location Address |
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Charles Eshel Stith Iii, NP
23 Manhattan Sq,
Hampton, VA 23666-5843
Ph: (757) 668-2200 | Charles Eshel Stith Iii, NP
23 Manhattan Sq,
Hampton, VA 23666-5843
Ph: (757) 668-2200 |
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