Dr Charleen L Ise, MD is a medicare enrolled "Preventive Medicine - Undersea And Hyperbaric Medicine" physician in Tierra Verde, Florida. 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 | |
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| Experience | 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 in
NPI Data:
- NPI Number: 1053427716
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 02/13/2024
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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