Dr Dorothy N Charles, MD is a medicare enrolled "Family Medicine" physician in East Alton, Illinois. Her current practice location is
2 Terminal Dr Ste 8, East Alton, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 258-0485.
Dr Dorothy N Charles is licensed to practice in Illinois (license number 036161491) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1194288779.
Physician's Profile
| Full Name | Dr Dorothy N Charles |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 2 Terminal Dr Ste 8, East Alton, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194288779
- Provider Enumeration Date: 04/10/2019
- Last Update Date: 09/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 9133503907
- Enrollment ID: I20220826003052
Medical Identifiers
Medical identifiers for Dr Dorothy N Charles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194288779 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 036161491 (Illinois) | 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 Dorothy N Charles allows following entities to bill medicare on her behalf.
| Entity Name | Southern Illinois Healthcare Foundation, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013198712
PECOS PAC ID: 1456256874
Enrollment ID: O20031126000641 |
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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 Dorothy N Charles 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 Dorothy N Charles, MD
2 Terminal Dr Ste 8,
East Alton, IL 62024-2294
Ph: (618) 258-0485 | Dr Dorothy N Charles, MD
2 Terminal Dr Ste 8,
East Alton, IL 62024-2294
Ph: (618) 258-0485 |
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