Charlene Davis, PMHNP - Medicare Nurse Practitioner in Roseburg, OR

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Charlene Davis, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Roseburg, Oregon. Her current practice location is 2570 Nw Edenbower Blvd Ste 100, Roseburg, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 677-7200.

Charlene Davis is licensed to practice in Oregon (license number 10022152) 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 1023728573.

Contact Information

Charlene Davis, PMHNP
2570 Nw Edenbower Blvd Ste 100,
Roseburg, OR 97471-6214
(541) 677-7200
(541) 229-3309

Map and Direction




Provider's Profile

Full NameCharlene Davis
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location2570 Nw Edenbower Blvd Ste 100, Roseburg, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023728573
  • Provider Enumeration Date: 11/23/2022
  • Last Update Date: 02/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7416395496
  • Enrollment ID: I20240410000777

Medical Identifiers

Medical identifiers for Charlene Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023728573NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 10022152 (Oregon)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. Charlene Davis allows following entities to bill medicare on her behalf.
Entity NameCentennial Medical Group East Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134436637
PECOS PAC ID: 9234397878
Enrollment ID: O20120228000510

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. Charlene Davis 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 AddressPractice Location Address
Charlene Davis, PMHNP
2570 Nw Edenbower Blvd Ste 100,
Roseburg, OR 97471-6214

Ph: (541) 677-7200		Charlene Davis, PMHNP
2570 Nw Edenbower Blvd Ste 100,
Roseburg, OR 97471-6214

Ph: (541) 677-7200

Reviews and Comments


Nurse Practitioner Nurses in Roseburg, OR

Ian Andrew Thomas, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2460 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471
Phone: 541-229-2663    
Ms. Jo Ann G. Berenbach, PMHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 913 Nw Garden Valley Blvd, Building 2 Mhc, Roseburg, OR 97470
Phone: 541-440-1000    Fax: 541-440-1356
Carol Lynn Collins, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471
Phone: 541-440-1000    
Sherri Twedt, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471
Phone: 541-440-1000    
Sunny L May, WHNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2460 Nw Stewart Pkwy, Suite 240, Roseburg, OR 97471
Phone: 541-677-4427    Fax: 541-677-6522
Mr. Donald L Bons, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 525 W Umpqua St, Roseburg, OR 97471
Phone: 541-464-7100    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.