Charlie M Hardin Jr, CFNP/ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Walnut Grove, Mississippi. His current practice location is
110 Park Street, Walnut Grove, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 253-0173.
Charlie M Hardin Jr is licensed to practice in Mississippi (license number R857156) 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 1669450037.
Provider's Profile
| Full Name | Charlie M Hardin Jr |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 110 Park Street, Walnut Grove, Mississippi |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Charlie M Hardin Jr attended and graduated from in
NPI Data:
- NPI Number: 1669450037
- Provider Enumeration Date: 01/05/2006
- Last Update Date: 03/07/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Charlie M Hardin Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669450037 | NPI | - | NPPES |
| 03239875 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LA2100X | Nurse Practitioner - Acute Care | R857156 (Mississippi) | Primary |
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. Charlie M Hardin 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 Address | Practice Location Address |
|---|
Charlie M Hardin Jr, CFNP/ACNP
965 Ridge Lake Blvd Ste 103,
Memphis, TN 38120-9446
Ph: (901) 227-3255 | Charlie M Hardin Jr, CFNP/ACNP
110 Park Street,
Walnut Grove, MS 39189
Ph: (601) 253-0173 |
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