Charles Vance Iii, DO is a medicare enrolled "Family Medicine" physician in Hamlin, West Virginia. His current practice location is
7400 Lynn Ave, Hamlin, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 824-5806.
Charles Vance Iii is licensed to practice in West Virginia (license number 768) 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 1649250341.
Physician's Profile
| Full Name | Charles Vance Iii |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 7400 Lynn Ave, Hamlin, West 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: 1649250341
- Provider Enumeration Date: 01/19/2006
- Last Update Date: 07/18/2017
Medicare PECOS Information:
- PECOS PAC ID: 6406015601
- Enrollment ID: I20120307000693
Medical Identifiers
Medical identifiers for Charles Vance Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649250341 | NPI | - | NPPES |
| 000000229369 | Other | WV | ANTHEM |
| 080188645 | Other | WV | RR MEDICARE |
| 001709560 | Other | WV | MT. STATE |
| 0049874000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 768 (West 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 Vance Iii allows following entities to bill medicare on his behalf.
| Entity Name | Lincoln County Primary Care Center Inc |
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| Entity Type | Part B Supplier - Public Health/welfare Agency |
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| Entity Identifiers | NPI Number: 1942274543
PECOS PAC ID: 6204821879
Enrollment ID: O20040415000138 |
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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 Vance 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 |
|---|
Charles Vance Iii, DO
7400 Lynn Ave,
Hamlin, WV 25523-1138
Ph: () - | Charles Vance Iii, DO
7400 Lynn Ave,
Hamlin, WV 25523-1138
Ph: (304) 824-5806 |
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