Matthew Charles, - Medicare Nurse Practitioner in Saint Louis, MO

Matthew Charles, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Saint Louis, Missouri. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Greenbrook Tms St Louis Llc, Tms Neurohealth Illinois Pllc and his current practice location is 10004 Kennerly Rd, Ste 364b, Saint Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 525-4429.

Matthew Charles is licensed to practice in Missouri (license number 2013037719) 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 1770913089.

Contact Information

Matthew Charles,
10004 Kennerly Rd, Ste 364b,
Saint Louis, MO 63128-2141
(314) 525-4429
(314) 525-7260

Map and Direction




Provider's Profile

Full NameMatthew Charles
GenderMale
SpecialityNurse Practitioner
Experience11 Years
Location10004 Kennerly Rd, Saint Louis, Missouri
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:
  • Matthew Charles graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1770913089
  • Provider Enumeration Date: 11/22/2013
  • Last Update Date: 03/14/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4486884129
  • Enrollment ID: I20140225002284

Medical Identifiers

Medical identifiers for Matthew Charles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770913089NPI-NPPES
1770913089MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0809XRegistered Nurse - Psychiatric/mental Health, Adult 2013037719 (Missouri)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 2013037719 (Missouri)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Greenbrook Tms St Louis Llc428498541710
Tms Neurohealth Illinois Pllc87294126893

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. Matthew Charles allows following entities to bill medicare on his behalf.
Entity NameMercy East Support Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225382013
PECOS PAC ID: 0446498729
Enrollment ID: O20130528000281
Entity NameGreenbrook Tms St Louis Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144713884
PECOS PAC ID: 4284985417
Enrollment ID: O20181105000980

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. Matthew Charles 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
Matthew Charles,
10004 Kennerly Rd, Ste 364b,
Saint Louis, MO 63128-2141

Ph: (314) 525-4429
Matthew Charles,
10004 Kennerly Rd, Ste 364b,
Saint Louis, MO 63128-2141

Ph: (314) 525-4429

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.