Charles I Rosenbaum, MD is a medicare enrolled "Family Medicine" physician in Crewe, Virginia. His current practice location is
12522 W. Colonial Trail Hwy., Crewe, Virginia. You can reach out to his office (for appointments etc.) via phone at
(434) 645-9191.
Charles I Rosenbaum is licensed to practice in Virginia (license number 0101039344) 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 1912135740.
Physician's Profile
| Full Name | Charles I Rosenbaum |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 12522 W. Colonial Trail Hwy., Crewe, 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: 1912135740
- Provider Enumeration Date: 07/01/2009
- Last Update Date: 07/01/2009
Medicare PECOS Information:
- PECOS PAC ID: 6800797531
- Enrollment ID: I20090818000561
Medical Identifiers
Medical identifiers for Charles I Rosenbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912135740 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 0101039344 (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 I Rosenbaum allows following entities to bill medicare on his behalf.
| Entity Name | Crewe Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316120892
PECOS PAC ID: 6901977883
Enrollment ID: O20080620000021 |
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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 I Rosenbaum 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 |
|---|
Charles I Rosenbaum, MD
12522 W. Colonial Trail Hwy., P.o. Box 528,
Crewe, VA 23930-0528
Ph: (434) 645-9191 | Charles I Rosenbaum, MD
12522 W. Colonial Trail Hwy.,
Crewe, VA 23930-0528
Ph: (434) 645-9191 |
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