Dr Charles Kenneth Requard, MD in Tucson, AZ

Dr Charles Kenneth Requard, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Tucson, Arizona. His current practice location is 5515 E 5th St, C/o Arizona Community Physicians, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 298-1138.

Dr Charles Kenneth Requard is licensed to practice in Arizona (license number 13725) 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 1851315519.

Contact Information

	Dr Charles Kenneth Requard, MD
	5515 E 5th St, C/o Arizona Community Physicians, Tucson, AZ 85711-2415
	(520) 298-1138
	(520) 547-5959

Map and Direction

Physician's Profile

Full Name	Dr Charles Kenneth Requard
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	5515 E 5th St, Tucson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851315519
Provider Enumeration Date: 07/27/2006
Last Update Date: 12/30/2013

Medicare PECOS Information:

PECOS PAC ID: 7911902325
Enrollment ID: I20230915000045

Medical Identifiers

Medical identifiers for Dr Charles Kenneth Requard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851315519	NPI	-	NPPES
8552002	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	13725 (Arizona)	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. Dr Charles Kenneth Requard allows following entities to bill medicare on his behalf.

Entity Name	Manatee Memorial Hospital L P
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770505687 PECOS PAC ID: 2062309164 Enrollment ID: O20060221000789

Entity Name	Radiology & Imaging Specialists Of Lakeland
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427049931 PECOS PAC ID: 2264422294 Enrollment ID: O20090306000484

Entity Name	Baycare Outpatient Imaging Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417423377 PECOS PAC ID: 3577804087 Enrollment ID: O20190410002311

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 Charles Kenneth Requard 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 Charles Kenneth Requard, MD 1961 N Corte El Rancho Merlita, Tucson, AZ 85715-4493 Ph: (520) 780-1281	Dr Charles Kenneth Requard, MD 5515 E 5th St, C/o Arizona Community Physicians, Tucson, AZ 85711-2415 Ph: (520) 298-1138

Reviews and Comments

Radiology Doctors in Tucson, AZ

Gary A Podolny, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 13305 E Saddlerock Rd, Tucson, AZ 85749 Phone: 520-749-3468
Thomas R. Cain, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 677 N Wilmot Rd, Tucson, AZ 85711 Phone: 520-795-2889
William G Berger, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 677 N Wilmot Rd, Tucson, AZ 85711 Phone: 520-571-9599
Edward E Rogoff, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2625 N Craycroft Rd, Ste 100, Tucson, AZ 85712 Phone: 520-324-4214 Fax: 520-324-2680
Dr. Jose Bernardo Rebeil-de La Rosa, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2492 E River Rd, Tucson, AZ 85718 Phone: 520-722-8994 Fax: 520-624-0117
Marilyn Kay Croghan, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2625 N Craycroft Rd, Ste 100, Tucson, AZ 85712 Phone: 520-324-4214 Fax: 520-324-2680
Baldassarre Stea, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724 Phone: 520-694-7236 Fax: 520-626-2032

Dr Charles Kenneth Requard, MD - Medicare Radiology in Tucson, AZ