Dr Charlotte S Noorollah, DO is a medicare enrolled "Dermatology" physician in Roslyn Heights, New York. She went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2013 and has 11 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Bobby Buka, M.d., P.c. and her current practice location is
87 Barnyard Ln, Roslyn Heights, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 869-7000.
Dr Charlotte S Noorollah is licensed to practice in New York (license number 250554) 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 1194040378.
Physician's Profile
| Full Name | Dr Charlotte S Noorollah |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 11 Years |
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| Location | 87 Barnyard Ln, Roslyn Heights, New York |
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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 Charlotte S Noorollah attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2013
NPI Data:
- NPI Number: 1194040378
- Provider Enumeration Date: 03/31/2010
- Last Update Date: 07/24/2019
Medicare PECOS Information:
- PECOS PAC ID: 7214168210
- Enrollment ID: I20140314000761
Medical Identifiers
Medical identifiers for Dr Charlotte S Noorollah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194040378 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 250554 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Bobby Buka, M.d., P.c. | 0547351140 | 38 |
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 Charlotte S Noorollah allows following entities to bill medicare on her behalf.
| Entity Name | Children's Skin And Laser, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265618532
PECOS PAC ID: 6800816760
Enrollment ID: O20051207000093 |
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| Entity Name | Bobby Buka, M.d., P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134349954
PECOS PAC ID: 0547351140
Enrollment ID: O20070811000001 |
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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 Charlotte S Noorollah 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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Dr Charlotte S Noorollah, DO
125 E 87th St Apt 12c,
New York, NY 10128-1128
Ph: (718) 869-7000 | Dr Charlotte S Noorollah, DO
87 Barnyard Ln,
Roslyn Heights, NY 11577-2808
Ph: (718) 869-7000 |
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