Charlotte Phillips, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Saint Peterburg, Florida. Her current practice location is
1839 Central Ave, Saint Peterburg, Florida. You can reach out to her office (for appointments etc.) via phone at
(727) 820-1040.
Charlotte Phillips is licensed to practice in Florida (license number 9195703) 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 1700260999.
Provider's Profile
| Full Name | Charlotte Phillips |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1839 Central Ave, Saint Peterburg, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1700260999
- Provider Enumeration Date: 07/17/2015
- Last Update Date: 08/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 6406164243
- Enrollment ID: I20150929000796
Medical Identifiers
Medical identifiers for Charlotte Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700260999 | NPI | - | NPPES |
| Y0S9H | Other | FL | FLORIDA BLUE |
| 015554300 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 9195703 (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. Charlotte Phillips allows following entities to bill medicare on her behalf.
| Entity Name | Professional Healthcare Of Pinellas Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881647253
PECOS PAC ID: 1658274675
Enrollment ID: O20040128000732 |
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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. Charlotte Phillips 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 |
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Charlotte Phillips, ARNP
1839 Central Ave,
Saint Petersburg, FL 33713-8900
Ph: (727) 820-1040 | Charlotte Phillips, ARNP
1839 Central Ave,
Saint Peterburg, FL 33713
Ph: (727) 820-1040 |
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