Mr Charles B Maddix, APRN, MSN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Jacksonville, Florida. He graduated from medical school in 2000 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Integrative Psychiatric Solutions, Llc and his current practice location is
3547 Hendricks Ave, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 877-1100.
Mr Charles B Maddix is licensed to practice in Florida (license number APRN9173113) 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 1790047926.
Physician's Profile
Full Name | Mr Charles B Maddix |
---|
Gender | Male |
---|
Speciality | Nurse Practitioner |
---|
Experience | 25 Years |
---|
Location | 3547 Hendricks Ave, Jacksonville, Florida |
---|
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Charles B Maddix graduated from medical school in 2000
NPI Data:
- NPI Number: 1790047926
- Provider Enumeration Date: 06/13/2012
- Last Update Date: 04/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 4789989252
- Enrollment ID: I20160222000162
Medical Identifiers
Medical identifiers for Mr Charles B Maddix such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790047926 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084A0401X | Psychiatry & Neurology - Addiction Medicine | APRN9173113 (Florida) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | APRN9173113 (Florida) | Secondary |
2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | APRN9173113 (Florida) | Secondary |
261QH0100X | Clinic/center - Health Service | APRN9173113 (Florida) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN9173113 (Florida) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Integrative Psychiatric Solutions, Llc | 9133451271 | 3 |
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. Mr Charles B Maddix allows following entities to bill medicare on his behalf.
Entity Name | Raul Soto-acosta |
---|
Entity Type | Practitioner - Psychiatry |
---|
Entity Identifiers | NPI Number: 1619991106 PECOS PAC ID: 5799727228 Enrollment ID: I20050525000572 |
---|
Entity Name | Mcr Health Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213 |
---|
Entity Name | Tbj Behavioral Center Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1568633683 PECOS PAC ID: 4981789823 Enrollment ID: O20141120001176 |
---|
Entity Name | Integrative Psychiatric Solutions, Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1942765300 PECOS PAC ID: 9133451271 Enrollment ID: O20191023000540 |
---|
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. Mr Charles B Maddix 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 |
Mr Charles B Maddix, APRN, MSN, PMHNP-BC 3547 Hendricks Ave, Jacksonville, FL 32207-5309 Ph: (904) 409-7778 | Mr Charles B Maddix, APRN, MSN, PMHNP-BC 3547 Hendricks Ave, Jacksonville, FL 32207-5309 Ph: (904) 877-1100 |
Reviews and Comments