Charlesetta Nicole Brown, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Fernandina Beach, Florida. Her current practice location is
1699 S 14th St Ste 10, Fernandina Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 450-6640.
Charlesetta Nicole Brown is licensed to practice in Florida (license number APRN11002310) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881238285.
Physician's Profile
| Full Name | Charlesetta Nicole Brown |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 1699 S 14th St Ste 10, Fernandina Beach, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1881238285
- Provider Enumeration Date: 10/30/2019
- Last Update Date: 07/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244668655
- Enrollment ID: I20231025003628
Medical Identifiers
Medical identifiers for Charlesetta Nicole Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881238285 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208M00000X | Hospitalist | 208444 (Louisiana) | Secondary |
| 363L00000X | Nurse Practitioner | 208444 (Louisiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 208444 (Louisiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11002310 (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. Charlesetta Nicole Brown allows following entities to bill medicare on her behalf.
| Entity Name | Monogram Health Professional Services Of Florida Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1538883111
PECOS PAC ID: 0244608149
Enrollment ID: O20221128001413 |
|---|
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. Charlesetta Nicole Brown 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 |
|---|
Charlesetta Nicole Brown, APRN
5791 University Club Blvd N Unit 309,
Jacksonville, FL 32277-9407
Ph: (904) 521-2115 | Charlesetta Nicole Brown, APRN
1699 S 14th St Ste 10,
Fernandina Beach, FL 32034-1964
Ph: (904) 450-6640 |
Reviews and Comments