Charity A Mathis, DNP is a medicare enrolled "Nurse Practitioner - Family" in Brooklyn Park, Maryland. Her current practice location is
4109 Ritchie Hwy, Brooklyn Park, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 609-0040.
Charity A Mathis is licensed to practice in Maryland (license number R220902) 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 1043796014.
Provider's Profile
Full Name | Charity A Mathis |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 4109 Ritchie Hwy, Brooklyn Park, Maryland |
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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: 1043796014
- Provider Enumeration Date: 07/12/2018
- Last Update Date: 05/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 1557737814
- Enrollment ID: I20221012001524
Medical Identifiers
Medical identifiers for Charity A Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043796014 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 111213 (West Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | 0024183967 (Virginia) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 111213 (West Virginia) | Secondary |
363LF0000X | Nurse Practitioner - Family | R220902 (Maryland) | Primary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024183967 (Virginia) | Secondary |
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. Charity A Mathis allows following entities to bill medicare on her behalf.
Entity Name | Winchester Community Mental Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457593188 PECOS PAC ID: 9032249214 Enrollment ID: O20110314000792 |
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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. Charity A Mathis 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 |
Charity A Mathis, DNP 8812 Costin Loop, Fort Meade, MD 20755-1509 Ph: (561) 271-9244 | Charity A Mathis, DNP 4109 Ritchie Hwy, Brooklyn Park, MD 21225-2703 Ph: (410) 609-0040 |
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