Charlene Michele Durham, APRN in Louisville, KY

Charlene Michele Durham, APRN is a medicare enrolled "Nurse Practitioner - Family" in Louisville, Kentucky. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeastern Emergency Physicians Llc, University Of Louisville Physicians Inc and her current practice location is 1850 Bluegrass Ave, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 367-3360.

Charlene Michele Durham is licensed to practice in Kentucky (license number 3014708) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326640830.

Contact Information

	Charlene Michele Durham, APRN
	1850 Bluegrass Ave, Louisville, KY 40215-1161
	(502) 367-3360
	Not Available

Map and Direction

Provider's Profile

Full Name	Charlene Michele Durham
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	1850 Bluegrass Ave, Louisville, Kentucky
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charlene Michele Durham graduated from nursing school in 2020

NPI Data:

NPI Number: 1326640830
Provider Enumeration Date: 11/10/2020
Last Update Date: 06/29/2022

Medicare PECOS Information:

PECOS PAC ID: 8325453426
Enrollment ID: I20210223003073

Medical Identifiers

Medical identifiers for Charlene Michele Durham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326640830	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	3014708 (Kentucky)	Secondary
363LF0000X	Nurse Practitioner - Family	3014708 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jewish Hospital & St Mary's Healthcare	Louisville, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southeastern Emergency Physicians Llc	2466364997	516
University Of Louisville Physicians Inc	3476725599	1111

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 Michele Durham allows following entities to bill medicare on her behalf.

Entity Name	Southeastern Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050302000285

Entity Name	University Of Louisville Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036

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 Michele Durham 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
Charlene Michele Durham, APRN Po Box 909, Louisville, KY 40201-0909 Ph: () -	Charlene Michele Durham, APRN 1850 Bluegrass Ave, Louisville, KY 40215-1161 Ph: (502) 367-3360

Reviews and Comments

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Amanda Danielle Saccone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Bishop Ln Fl 12, Louisville, KY 40218 Phone: 502-272-5220 Fax: 502-272-5117
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Victoria Jean Shipman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway Fl 4, Louisville, KY 40202 Phone: 502-629-2500

Charlene Michele Durham, APRN - Medicare Nurse Practitioner in Louisville, KY