Charles Guillaume, PMHNP-BC - Medicare Nurse Practitioner in Loganville, GA

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Charles Guillaume, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Loganville, Georgia. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Personal Recovery Network Llc and his current practice location is 500 Plantation Park Dr, Loganville, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 344-8268.

Charles Guillaume is licensed to practice in Georgia (license number RN180218) 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 1114322419.

Contact Information

Charles Guillaume, PMHNP-BC
500 Plantation Park Dr,
Loganville, GA 30052-4144
(678) 344-8268
(888) 627-6444

Map and Direction




Provider's Profile

Full NameCharles Guillaume
GenderMale
SpecialityNurse Practitioner
Experience10 Years
Location500 Plantation Park Dr, Loganville, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charles Guillaume graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1114322419
  • Provider Enumeration Date: 10/29/2014
  • Last Update Date: 11/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4981996378
  • Enrollment ID: I20160705001421

Medical Identifiers

Medical identifiers for Charles Guillaume such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114322419NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health RN180218 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Personal Recovery Network Llc5092611384334

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. Charles Guillaume allows following entities to bill medicare on his behalf.
Entity NameLife Healing Center Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104149160
PECOS PAC ID: 9638294309
Enrollment ID: O20100917000834
Entity NamePersonal Recovery Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881990869
PECOS PAC ID: 5092611384
Enrollment ID: O20120110000096

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. Charles Guillaume 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
Charles Guillaume, PMHNP-BC
1637 Athens Hwy,
Grayson, GA 30017-1768

Ph: (678) 254-0917		Charles Guillaume, PMHNP-BC
500 Plantation Park Dr,
Loganville, GA 30052-4144

Ph: (678) 344-8268

Reviews and Comments


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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).

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