Charlotte Ann Rollie, FNP, CNM is a medicare enrolled "Advanced Practice Midwife" in Park Rapids, Minnesota. She graduated from nursing school in 1999 and has 25 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice St Marys Regional Health Center and her current practice location is
705 Pleasant Ave S, Park Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 732-2800.
Charlotte Ann Rollie is licensed to practice in Minnesota (license number CNM0006) 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 1255399283.
Provider's Profile
| Full Name | Charlotte Ann Rollie |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 25 Years |
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| Location | 705 Pleasant Ave S, Park Rapids, Minnesota |
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| Accepts Medicare Assignments | Yes. She 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:
- Charlotte Ann Rollie graduated from nursing school in 1999
NPI Data:
- NPI Number: 1255399283
- Provider Enumeration Date: 05/01/2006
- Last Update Date: 08/07/2018
Medicare PECOS Information:
- PECOS PAC ID: 6800980806
- Enrollment ID: I20130107000108
Medical Identifiers
Medical identifiers for Charlotte Ann Rollie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255399283 | NPI | - | NPPES |
| 1255399283 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | R1203026 (Minnesota) | Secondary |
| 367A00000X | Advanced Practice Midwife | CNP0022 (Minnesota) | Secondary |
| 367A00000X | Advanced Practice Midwife | CNM0006 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| St Marys Regional Health Center | 2062326820 | 159 |
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. Charlotte Ann Rollie allows following entities to bill medicare on her behalf.
| Entity Name | St Marys Regional Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679561088
PECOS PAC ID: 2062326820
Enrollment ID: O20031117000090 |
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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. Charlotte Ann Rollie 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 |
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Charlotte Ann Rollie, FNP, CNM
Po Box 6001,
Fargo, ND 58108-6001
Ph: (218) 732-2800 | Charlotte Ann Rollie, FNP, CNM
705 Pleasant Ave S,
Park Rapids, MN 56470
Ph: (218) 732-2800 |
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