Dr Charleen L Ise, MD is a medicare enrolled "Preventive Medicine - Undersea And Hyperbaric Medicine" physician in Tierra Verde, Florida. She went to Perelman School Of Med At The University Of Pennsylvania and graduated in 1983 and has 41 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Nautilus Health Care Group Llc and her current practice location is
1120 Pinellas Bayway, Ste 200, Tierra Verde, Florida. You can reach out to her office (for appointments etc.) via phone at
(727) 867-5480.
Dr Charleen L Ise is licensed to practice in Florida (license number ME55512) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053427716.
Physician's Profile
| Full Name | Dr Charleen L Ise |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 41 Years |
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| Location | 1120 Pinellas Bayway, Tierra Verde, Florida |
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| Accepts Medicare Assignments | Yes. She 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:
- Dr Charleen L Ise attended and graduated from Perelman School Of Med At The University Of Pennsylvania in 1983
NPI Data:
- NPI Number: 1053427716
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 02/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608810759
- Enrollment ID: I20050620000355
Medical Identifiers
Medical identifiers for Dr Charleen L Ise such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053427716 | NPI | - | NPPES |
| 101276100 | Medicaid | FL | |
| 0100444 | Other | | EVERCARE |
| 267080 | Other | | AVMED |
| P00306082 | Other | | RAILROAD MEDICARE |
| 09781 | Other | FL | BCBS |
| 4045500 | Other | | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207PE0005X | Emergency Medicine - Undersea And Hyperbaric Medicine | ME0055512 (Florida) | Secondary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | ME55512 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Nautilus Health Care Group Llc | 5991604852 | 44 |
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. Dr Charleen L Ise allows following entities to bill medicare on her behalf.
| Entity Name | Nautilus Health Care Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912013558
PECOS PAC ID: 5991604852
Enrollment ID: O20040108000803 |
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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. Dr Charleen L Ise 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 |
|---|
Dr Charleen L Ise, MD
Po Box 530968,
St Petersburg, FL 33747-0968
Ph: (727) 823-2188 | Dr Charleen L Ise, MD
1120 Pinellas Bayway, Ste 200,
Tierra Verde, FL 33715-1505
Ph: (727) 867-5480 |
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