Dr Kemilla E Charles, OD | |
1221 Mercantile Lane, Largo, MD 20774-5374 | |
(301) 618-5578 | |
(301) 618-5673 |
Full Name | Dr Kemilla E Charles |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 29 Years |
Location | 1221 Mercantile Lane, Largo, Maryland |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538232855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPC3061 (Florida) | Secondary |
152W00000X | Optometrist | TA1444 (Maryland) | Primary |
152W00000X | Optometrist | OP765 (District Of Columbia) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc | 3779495858 | 1628 |
Provider Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
Mailing Address | Practice Location Address |
---|---|
Dr Kemilla E Charles, OD 2101 East Jefferson Street, Ppqa Medicare Compliance Unit 6 West Attn Theresa Brook, Rockville, MD 20852-4908 Ph: (301) 816-6660 | Dr Kemilla E Charles, OD 1221 Mercantile Lane, Largo, MD 20774-5374 Ph: (301) 618-5578 |
Dr. William L Kranzer, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1221 Mercantile Lane, Largo, MD 20774 Phone: 301-618-5578 Fax: 301-618-5673 | |
Mitchellville Eye Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10476 Campus Way S, Largo, MD 20774 Phone: 301-336-4040 Fax: 301-350-6690 | |
Dr. Rhonda A Henry, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1221 Mercantile Lane, Largo, MD 20774 Phone: 301-618-5578 Fax: 301-618-5673 |