Mr Clifford Andrew Charles, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Uniondale, New York. His current practice location is
514 Cedar St, Uniondale, New York. You can reach out to his office (for appointments etc.) via phone at
(516) 643-6365.
Mr Clifford Andrew Charles is licensed to practice in New York (license number 610762) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1295442895.
Provider's Profile
Full Name | Mr Clifford Andrew Charles |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 514 Cedar St, Uniondale, 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: 1295442895
- Provider Enumeration Date: 11/02/2022
- Last Update Date: 07/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 7810354107
- Enrollment ID: I20230531003230
Medical Identifiers
Medical identifiers for Mr Clifford Andrew Charles such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295442895 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 610762 (New York) | Primary |
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. Mr Clifford Andrew Charles allows following entities to bill medicare on his behalf.
Entity Name | Upstate Anesthesia Services, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629272141 PECOS PAC ID: 0840383857 Enrollment ID: O20070907000237 |
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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. Mr Clifford Andrew 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 Address | Practice Location Address |
Mr Clifford Andrew Charles, CRNA 54 Blydenburgh Rd, Centereach, NY 11720-4346 Ph: (516) 643-6365 | Mr Clifford Andrew Charles, CRNA 514 Cedar St, Uniondale, NY 11553-2139 Ph: (516) 643-6365 |
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