Charles W Bascom Iii, NP - Medicare Nurse Practitioner in Tucson, AZ

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Charles W Bascom Iii, NP is a medicare enrolled "Nurse Practitioner - Family" in Tucson, Arizona. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Urgent Specialists Llc, Northwest Urgent Care Llc and his current practice location is 2120 W Ina Rd, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 395-0471.

Charles W Bascom Iii is licensed to practice in Arizona (license number 241529) 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 1487278313.

Contact Information

Charles W Bascom Iii, NP
2120 W Ina Rd,
Tucson, AZ 85741-2694
(520) 395-0471
Not Available

Map and Direction




Provider's Profile

Full NameCharles W Bascom Iii
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location2120 W Ina Rd, Tucson, Arizona
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 W Bascom Iii graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1487278313
  • Provider Enumeration Date: 06/06/2020
  • Last Update Date: 06/22/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6406271360
  • Enrollment ID: I20200810001278

Medical Identifiers

Medical identifiers for Charles W Bascom Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487278313NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 241529 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Urgent Specialists Llc30728923142
Northwest Urgent Care Llc983050606230

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 W Bascom Iii allows following entities to bill medicare on his behalf.
Entity NameSouthern Arizona Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285994004
PECOS PAC ID: 9335398031
Enrollment ID: O20121011000888
Entity NameUrgent Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588018519
PECOS PAC ID: 3072892314
Enrollment ID: O20161109002126
Entity NameStrato3 Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215426200
PECOS PAC ID: 3274886122
Enrollment ID: O20181023003681
Entity NameNorthwest Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528683455
PECOS PAC ID: 9830506062
Enrollment ID: O20210406000001

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 W Bascom Iii 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 W Bascom Iii, NP
2600 W Ina Rd Apt 197,
Tucson, AZ 85741-2347

Ph: () -		Charles W Bascom Iii, NP
2120 W Ina Rd,
Tucson, AZ 85741-2694

Ph: (520) 395-0471

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.