Dr Charles M Harden Jr, MD is a medicare enrolled "General Practice" physician in Kingsland, Georgia. His current practice location is
130 N Gross Rd Ste 201, Kingsland, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 729-2795.
Dr Charles M Harden Jr is licensed to practice in Georgia (license number 044930) 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 1053386508.
Physician's Profile
Full Name | Dr Charles M Harden Jr |
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Gender | Male |
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Speciality | General Practice |
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Location | 130 N Gross Rd Ste 201, Kingsland, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053386508
- Provider Enumeration Date: 02/20/2006
- Last Update Date: 08/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 3870764632
- Enrollment ID: I20111025000162
Medical Identifiers
Medical identifiers for Dr Charles M Harden Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053386508 | NPI | - | NPPES |
206395 | Other | GA | BLUE CROSS |
000799345D | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PE0004X | Emergency Medicine - Emergency Medical Services | 044930 (Georgia) | Secondary |
208D00000X | General Practice | 044930 (Georgia) | 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 M Harden Jr allows following entities to bill medicare on his behalf.
Entity Name | Southland Dodge Emergency Medical Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851958607 PECOS PAC ID: 8224360805 Enrollment ID: O20191031001338 |
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Entity Name | Southland Dodge Hospitalist Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346894334 PECOS PAC ID: 7113259664 Enrollment ID: O20191101001455 |
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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 Charles M Harden Jr 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 M Harden Jr, MD 130 N Gross Rd Ste 201, Kingsland, GA 31548-6277 Ph: (912) 729-2795 | Dr Charles M Harden Jr, MD 130 N Gross Rd Ste 201, Kingsland, GA 31548-6277 Ph: (912) 729-2795 |
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