Mrs Charlotte Fay Douglas, NP - Medicare Nurse Practitioner in Watseka, IL

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Mrs Charlotte Fay Douglas, NP is a medicare enrolled "Nurse Practitioner - Family" in Watseka, Illinois. She graduated from nursing school in 2013 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Trinity Medical Staffing Llc and her current practice location is 200 E Walnut St, Watseka, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 432-3507.

Mrs Charlotte Fay Douglas is licensed to practice in Illinois (license number 209.010801) 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 1073941670.

Contact Information

Mrs Charlotte Fay Douglas, NP
200 E Walnut St,
Watseka, IL 60970-1356
(815) 432-3507
Not Available

Map and Direction




Provider's Profile

Full NameMrs Charlotte Fay Douglas
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location200 E Walnut St, Watseka, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Charlotte Fay Douglas graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1073941670
  • Provider Enumeration Date: 10/17/2013
  • Last Update Date: 10/17/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 3577796820
  • Enrollment ID: I20140512001799

Medical Identifiers

Medical identifiers for Mrs Charlotte Fay Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073941670NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209.010801 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Trinity Medical Staffing Llc175971269824

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. Mrs Charlotte Fay Douglas allows following entities to bill medicare on her behalf.
Entity NameSpringfield Clinic Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780638478
PECOS PAC ID: 0547166076
Enrollment ID: O20040331000826
Entity NameParagon Clinical Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114139946
PECOS PAC ID: 7214034925
Enrollment ID: O20070515000051
Entity Name24 On Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346480431
PECOS PAC ID: 5698688141
Enrollment ID: O20090609000389
Entity NameTrinity Medical Staffing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770103426
PECOS PAC ID: 1759712698
Enrollment ID: O20200511000598

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. Mrs Charlotte Fay Douglas 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
Mrs Charlotte Fay Douglas, NP
200 E Walnut St,
Watseka, IL 60970-1356

Ph: (815) 432-3507		Mrs Charlotte Fay Douglas, NP
200 E Walnut St,
Watseka, IL 60970-1356

Ph: (815) 432-3507

Reviews and Comments


Nurse Practitioner Nurses in Watseka, IL

Shelby Jo Robinson, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1490 E Walnut St, Watseka, IL 60970
Phone: 815-432-8200    Fax: 815-432-8201
Amy Papineau, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 806 E Walnut St Ste A, Watseka, IL 60970
Phone: 815-432-1078    
Rebecca Koerner, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 200 E Fairman Ave, Watseka, IL 60970
Phone: 815-432-5841    
Mrs. Erin Renae Dean, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1490 E Walnut St Ste A, Watseka, IL 60970
Phone: 815-432-7693    Fax: 815-936-7228
Dr. Brittani Ann Seagren, APRN-NP, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1490 E Walnut St Ste A, Watseka, IL 60970
Phone: 815-432-7693    Fax: 815-936-7228
Mrs. Katherine Anne Van Hoveln, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1490 E Walnut St Ste A, Watseka, IL 60970
Phone: 815-432-7693    Fax: 815-432-7695

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.