Charrise Mcclellan, PMHNP is a medicare enrolled "Psychiatry & Neurology - Psychiatry" in New York, New York. Her current practice location is
743-749 E. 9th Street, New York, New York. You can reach out to her office (for appointments etc.) via phone at
(212) 677-7999.
Charrise Mcclellan is licensed to practice in New York (license number 404324) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1437503786.
Provider's Profile
Full Name | Charrise Mcclellan |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 743-749 E. 9th Street, New York, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1437503786
- Provider Enumeration Date: 04/22/2016
- Last Update Date: 08/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 8123483252
- Enrollment ID: I20230425001662
Medical Identifiers
Medical identifiers for Charrise Mcclellan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437503786 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 661997 (New York) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 404324 (New York) | 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. Charrise Mcclellan 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 |
Charrise Mcclellan, PMHNP 307 Union Ct Apt 208, Perth Amboy, NJ 08861-1203 Ph: (646) 342-8082 | Charrise Mcclellan, PMHNP 743-749 E. 9th Street, New York, NY 10010 Ph: (212) 677-7999 |
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