Charles Staples Jr, - Medicare Nurse Practitioner in Watertown, CT

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Charles Staples Jr, is a medicare enrolled "Nurse Practitioner - Family" in Watertown, Connecticut. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Northeast Medical Group Inc and his current practice location is 205 Sylvan Lake Rd, Watertown, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 260-8744.

Charles Staples Jr is licensed to practice in Connecticut (license number F1015603) 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 1598122947.

Contact Information

Charles Staples Jr,
205 Sylvan Lake Rd,
Watertown, CT 06779-1450
(203) 260-8744
Not Available

Map and Direction




Provider's Profile

Full NameCharles Staples Jr
GenderMale
SpecialityNurse Practitioner
Experience9 Years
Location205 Sylvan Lake Rd, Watertown, Connecticut
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 Staples Jr graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1598122947
  • Provider Enumeration Date: 01/15/2016
  • Last Update Date: 01/15/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9830482348
  • Enrollment ID: I20160721000307

Medical Identifiers

Medical identifiers for Charles Staples Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598122947NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F1015603 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bridgeport HospitalBridgeport, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeast Medical Group Inc12542338361244

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 Staples Jr allows following entities to bill medicare on his behalf.
Entity NameNortheast Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043278351
PECOS PAC ID: 1254233836
Enrollment ID: O20040123000522

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 Staples Jr 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 Staples Jr,
205 Sylvan Lake Rd,
Watertown, CT 06779-1450

Ph: (203) 260-8744		Charles Staples Jr,
205 Sylvan Lake Rd,
Watertown, CT 06779-1450

Ph: (203) 260-8744

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).

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.