Charles Leslie Bryner Jr, MD - Medicare Family Medicine in Orange Park, FL

Charles Leslie Bryner Jr, MD is a medicare enrolled "Family Medicine" physician in Orange Park, Florida. His current practice location is 606 Chivas Ct, Orange Park, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 542-3500.

Charles Leslie Bryner Jr is licensed to practice in Florida (license number ME61834) 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 1205894300.

Contact Information

Charles Leslie Bryner Jr, MD
606 Chivas Ct,
Orange Park, FL 32073-4227
(904) 542-3500
Not Available

Map and Direction




Physician's Profile

Full NameCharles Leslie Bryner Jr
GenderMale
SpecialityFamily Medicine
Location606 Chivas Ct, Orange Park, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205894300
  • Provider Enumeration Date: 05/01/2006
  • Last Update Date: 10/20/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 3577513688
  • Enrollment ID: I20050126000940

Medical Identifiers

Medical identifiers for Charles Leslie Bryner Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205894300NPI-NPPES
271490600MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ME61834 (Florida)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 Leslie Bryner Jr allows following entities to bill medicare on his behalf.
Entity NameSt Vincent's Ambulatory Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417987124
PECOS PAC ID: 2860411188
Enrollment ID: O20051116000430

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 Leslie Bryner 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 AddressPractice Location Address
Charles Leslie Bryner Jr, MD
606 Chivas Ct,
Orange Park, FL 32073-4227

Ph: (904) 542-3500
Charles Leslie Bryner Jr, MD
606 Chivas Ct,
Orange Park, FL 32073-4227

Ph: (904) 542-3500

Reviews and Comments


Family Medicine Doctors in Orange Park, FL

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Darby R Martin, DO
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Allison Dasta Butler, M.D.
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Dr. Abdul A Qazizada, M.D.
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David Maynoldi, M.D.
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Practice Location: 1202 Kingsley Ave, Orange Park, FL 32073
Phone: 877-842-4020    Fax: 877-842-4020

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.