Marie Charisse Impe, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Corpus Christi, Texas. Her current practice location is
5802 Saratoga Blvd Ste 200, Corpus Christi, Texas. You can reach out to her office (for appointments etc.) via phone at
(361) 696-6200.
Marie Charisse Impe is licensed to practice in Texas (license number 363L00000X) 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 1033870456.
Physician's Profile
| Full Name | Marie Charisse Impe |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 5802 Saratoga Blvd Ste 200, Corpus Christi, Texas |
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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: 1033870456
- Provider Enumeration Date: 01/07/2022
- Last Update Date: 03/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 2769858026
- Enrollment ID: I20221012001382
Medical Identifiers
Medical identifiers for Marie Charisse Impe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033870456 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RR0500X | Internal Medicine - Rheumatology | F11200688 (Texas) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | 1026508 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | 1026508 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 363L00000X (Texas) | 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. Marie Charisse Impe allows following entities to bill medicare on her behalf.
| Entity Name | Christus Trinity Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285684225
PECOS PAC ID: 3072426741
Enrollment ID: O20031204001091 |
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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. Marie Charisse Impe 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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Marie Charisse Impe, NP
5802 Saratoga Blvd Ste 200,
Corpus Christi, TX 78414-4252
Ph: (361) 696-6200 | Marie Charisse Impe, NP
5802 Saratoga Blvd Ste 200,
Corpus Christi, TX 78414-4252
Ph: (361) 696-6200 |
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