Dr Jimmie R Charlie, MD is a medicare enrolled "Family Medicine" physician in Santo Domingo, New Mexico. His current practice location is
85 West Highway 22, Santo Domingo, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 465-3060.
Dr Jimmie R Charlie is licensed to practice in New Mexico (license number 20020019) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366523722.
Physician's Profile
| Full Name | Dr Jimmie R Charlie |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 85 West Highway 22, Santo Domingo, New Mexico |
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| Accepts Medicare Assignments | Yes. He 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 Jimmie R Charlie attended and graduated from in
NPI Data:
- NPI Number: 1366523722
- Provider Enumeration Date: 10/18/2006
- Last Update Date: 09/02/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jimmie R Charlie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366523722 | NPI | - | NPPES |
| 85534862 | Medicaid | NM | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 20020019 (New Mexico) | 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 Jimmie R Charlie 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 Jimmie R Charlie, MD
Po Box 340,
Santo Domingo Pueblo, NM 87052-0340
Ph: (505) 465-3060 | Dr Jimmie R Charlie, MD
85 West Highway 22,
Santo Domingo, NM 87502-0340
Ph: (505) 465-3060 |
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