Obed Charles, in Davenport, FL - Medicare Nurse Practitioner

Obed Charles, is a medicare enrolled "Nurse Practitioner - Family" in Davenport, Florida. His current practice location is 542 Westchester Ct, Davenport, Florida. You can reach out to his office (for appointments etc.) via phone at (140) 771-5272.

Obed Charles is licensed to practice in Florida (license number 11025662) 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 1548945868.

Contact Information

	Obed Charles,
	542 Westchester Ct, Davenport, FL 33837-4612
	(140) 771-5272
	Not Available

Map and Direction

Provider's Profile

Full Name	Obed Charles
Gender	Male
Speciality	Nurse Practitioner - Family
Location	542 Westchester Ct, Davenport, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548945868
Provider Enumeration Date: 06/15/2023
Last Update Date: 06/15/2023

Medicare PECOS Information:

PECOS PAC ID: 6709247539
Enrollment ID: I20230726003195

Medical Identifiers

Medical identifiers for Obed Charles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548945868	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11025662 (Florida)	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. Obed Charles allows following entities to bill medicare on his behalf.

Entity Name	Wound Technology Network, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962601393 PECOS PAC ID: 4486892296 Enrollment ID: O20130605000626

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. Obed 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
Obed Charles, 542 Westchester Ct, Davenport, FL 33837-4612 Ph: (407) 715-2724	Obed Charles, 542 Westchester Ct, Davenport, FL 33837-4612 Ph: (140) 771-5272

Reviews and Comments

Nurse Practitioner Nurses in Davenport, FL

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Karen R Elias Valladares, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 191 Heather Lynn Dr, Davenport, FL 33897 Phone: 703-626-7788
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Ophelia Dacosta-green, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2217 North Blvd W, Davenport, FL 33837 Phone: 863-421-3456 Fax: 863-421-3466
Catherine Reynolds, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2516 Sand Mine Rd, Davenport, FL 33897 Phone: 863-232-5527
Eileen J Ruiz, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2201 North Blvd W, Davenport, FL 33837 Phone: 863-419-0688

Obed Charles, - Medicare Nurse Practitioner in Davenport, FL