Mr Charles M Aldrich, PA-C is a medicare enrolled "Physician Assistant - Medical" physician in Jackson, Tennessee. His current practice location is
620 Skyline Dr, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 541-6574.
Mr Charles M Aldrich is licensed to practice in Tennessee (license number PA 1784) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1235464918.
Physician's Profile
| Full Name | Mr Charles M Aldrich |
|---|
| Gender | Male |
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| Speciality | Physician Assistant - Medical |
|---|
| Location | 620 Skyline Dr, Jackson, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1235464918
- Provider Enumeration Date: 10/13/2009
- Last Update Date: 06/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597806372
- Enrollment ID: I20091231000298
Medical Identifiers
Medical identifiers for Mr Charles M Aldrich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235464918 | NPI | - | NPPES |
| 12221983 | Other | TN | BIRTH DATE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 1784 (Tennessee) | Secondary |
| 207Q00000X | Family Medicine | 1784 (Tennessee) | Secondary |
| 207R00000X | Internal Medicine | 1784 (Tennessee) | Secondary |
| 208000000X | Pediatrics | 1784 (Tennessee) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 1784 (Tennessee) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 1784 (Tennessee) | Secondary |
| 208600000X | Surgery | 1784 (Tennessee) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA 1784 (Tennessee) | 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. Mr Charles M Aldrich 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 M Aldrich, PA-C
620 Skyline Dr,
Jackson, TN 38301-3923
Ph: (731) 541-6574 | Mr Charles M Aldrich, PA-C
620 Skyline Dr,
Jackson, TN 38301-3923
Ph: (731) 541-6574 |
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