Charles William Andrews Jr, MD is a medicare enrolled "Pathology - Anatomic Pathology" physician in Crystal Lake, Illinois. His current practice location is
875 South Route 31, Crystal Lake, Illinois. You can reach out to his office (for appointments etc.) via phone at
(888) 396-3729.
Charles William Andrews Jr is licensed to practice in Wisconsin (license number 81119-20) 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 1518936228.
Physician's Profile
Full Name | Charles William Andrews Jr |
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Gender | Male |
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Speciality | Pathology - Anatomic Pathology |
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Location | 875 South Route 31, Crystal Lake, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1518936228
- Provider Enumeration Date: 03/15/2006
- Last Update Date: 08/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658262225
- Enrollment ID: I20161019000681
Medical Identifiers
Medical identifiers for Charles William Andrews Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518936228 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0101X | Pathology - Anatomic Pathology | 81119-20 (Wisconsin) | Primary |
207ZP0101X | Pathology - Anatomic Pathology | 68802 (Tennessee) | Secondary |
207ZP0101X | Pathology - Anatomic Pathology | 036.164695 (Illinois) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 81119 (Wisconsin) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 036.164695 (Illinois) | Secondary |
207ZP0101X | Pathology - Anatomic Pathology | 46515 (Alabama) | Secondary |
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 William Andrews Jr allows following entities to bill medicare on his behalf.
Entity Name | Baylor College Of Medicine |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316921026 PECOS PAC ID: 8527956176 Enrollment ID: O20040306000020 |
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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 William Andrews 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 Address | Practice Location Address |
Charles William Andrews Jr, MD 1010 Airpark Center Dr, Nashville, TN 37217-5200 Ph: (615) 221-4400 | Charles William Andrews Jr, MD 875 South Route 31, Crystal Lake, IL 60014 Ph: (888) 396-3729 |
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