Charles Lipe, is a medicare enrolled "Physical Therapist" provider in Citronelle, Alabama. His current practice location is
19195 N 3rd St, Citronelle, Alabama. You can reach out to his office (for appointments etc.) via phone at
(251) 866-0464.
Charles Lipe is licensed to practice in Alabama (license number PTH7679) 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 1861878431.
Healthcare Provider's Profile
| Full Name | Charles Lipe |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 19195 N 3rd St, Citronelle, Alabama |
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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: 1861878431
- Provider Enumeration Date: 08/06/2015
- Last Update Date: 08/06/2015
Medicare PECOS Information:
- PECOS PAC ID: 0042520611
- Enrollment ID: I20151111000654
Medical Identifiers
Medical identifiers for Charles Lipe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861878431 | NPI | - | NPPES |
| 1003819608 | Other | AL | GROUP NPI |
| 529917620 | Medicaid | AL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PTH7679 (Alabama) | 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. Charles Lipe allows following entities to bill medicare on his behalf.
| Provider Name | Alabama Physical Therapy Services Of Foley, Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1386409555
PECOS PAC ID: 3779923818
Enrollment ID: O20240506004336 |
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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. Charles Lipe 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 |
|---|
Charles Lipe,
251 Johnston St Se Ste 300,
Decatur, AL 35601-2515
Ph: (256) 350-1764 | Charles Lipe,
19195 N 3rd St,
Citronelle, AL 36522-4015
Ph: (251) 866-0464 |
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