Charles Phillip Hurlburt, MD is a medicare enrolled "Family Medicine" physician in Rural Retreat, Virginia. His current practice location is
7021 W Lee Hwy, Suite C, Rural Retreat, Virginia. You can reach out to his office (for appointments etc.) via phone at
(866) 595-3662.
Charles Phillip Hurlburt is licensed to practice in Virginia (license number 0101048104) 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 1649213315.
Physician's Profile
| Full Name | Charles Phillip Hurlburt |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 7021 W Lee Hwy, Rural Retreat, 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: 1649213315
- Provider Enumeration Date: 06/13/2006
- Last Update Date: 09/21/2012
Medicare PECOS Information:
- PECOS PAC ID: 8224065883
- Enrollment ID: I20050726000164
Medical Identifiers
Medical identifiers for Charles Phillip Hurlburt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649213315 | NPI | - | NPPES |
| 007610432 | Medicaid | VA | |
| 010204968 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 0101048104 (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 Phillip Hurlburt allows following entities to bill medicare on his behalf.
| Entity Name | Blue Ridge Medical Management Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326159567
PECOS PAC ID: 9739099441
Enrollment ID: O20040715001336 |
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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 Phillip Hurlburt 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 Phillip Hurlburt, MD
7021 W Lee Hwy, Suite C,
Rural Retreat, VA 24368-2933
Ph: (866) 595-3662 | Charles Phillip Hurlburt, MD
7021 W Lee Hwy, Suite C,
Rural Retreat, VA 24368-2933
Ph: (866) 595-3662 |
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