Charonn D Woods, MD is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in Bourbonnais, Illinois. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. He is a member of the group practice Community Care Network Inc, Midwest Pain Management Centers,llc and his current practice location is
100 Riverside Dr, Bourbonnais, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 802-7090.
Charonn D Woods is licensed to practice in Illinois (license number 036171703) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396109062.
Physician's Profile
| Full Name | Charonn D Woods |
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| Gender | Male |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 8 Years |
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| Location | 100 Riverside Dr, Bourbonnais, Illinois |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Charonn D Woods graduated from medical school in 2016
NPI Data:
- NPI Number: 1396109062
- Provider Enumeration Date: 04/08/2016
- Last Update Date: 10/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 9638461379
- Enrollment ID: I20210512000739
Medical Identifiers
Medical identifiers for Charonn D Woods such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396109062 | NPI | - | NPPES |
| 300050075 | Medicaid | IN | |
| 000001543019 | Other | IN | ANTHEM BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 01085754A (Indiana) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 62650 (Minnesota) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 62650 (Minnesota) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 036171703 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Community Care Network Inc | 3678737012 | 346 |
| Midwest Pain Management Centers,llc | 5496654618 | 9 |
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. Charonn D Woods allows following entities to bill medicare on his behalf.
| Entity Name | Midwest Pain Management Centers,llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962401745
PECOS PAC ID: 5496654618
Enrollment ID: O20040112000257 |
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| Entity Name | Pain Management Specialists, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881693562
PECOS PAC ID: 9032134770
Enrollment ID: O20051011001027 |
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| Entity Name | Community Care Network Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457610487
PECOS PAC ID: 3678737012
Enrollment ID: O20120614000331 |
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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. Charonn D Woods 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 |
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Charonn D Woods, MD
100 Riverside Dr,
Bourbonnais, IL 60914
Ph: (815) 802-7090 | Charonn D Woods, MD
100 Riverside Dr,
Bourbonnais, IL 60914-4607
Ph: (815) 802-7090 |
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