Jerome G Charles, PT - Medicare Physical Therapist in Green Bay, WI

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Jerome G Charles, PT is a medicare enrolled "Physical Therapist" provider in Green Bay, Wisconsin. He graduated from medical school in 1984 and has 40 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Orthopedic And Spine Therapy Of Lakewood, Sc, Orthopedic And Spine Therapy Of Green Bay Sc and his current practice location is 211 N Broadway Ste 105, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 432-9040.

Jerome G Charles is licensed to practice in Wisconsin (license number 2921-024) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225057912.

Contact Information

Jerome G Charles, PT
211 N Broadway Ste 105,
Green Bay, WI 54303-2757
(920) 432-9040
(920) 432-9053

Map and Direction




Healthcare Provider's Profile

Full NameJerome G Charles
GenderMale
SpecialityPhysical Therapy
Experience40 Years
Location211 N Broadway Ste 105, Green Bay, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jerome G Charles graduated from medical school in 1984
  NPI Data:
  • NPI Number: 1225057912
  • Provider Enumeration Date: 07/19/2006
  • Last Update Date: 06/25/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 8628088549
  • Enrollment ID: I20060421000320

Medical Identifiers

Medical identifiers for Jerome G Charles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225057912NPI-NPPES
115015OtherWISECURITY HEALTH PLAN
650018183OtherWIRAILROAD MEDICARE
650025343OtherRAILROAD MEDICARE
000486021OtherWIMEDICARE
001686030OtherWIMEDICARE
40309000MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 2921-024 (Wisconsin)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Orthopedic And Spine Therapy Of Lakewood, Sc09414993882
Orthopedic And Spine Therapy Of Green Bay Sc30724165024

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. Jerome G Charles allows following entities to bill medicare on his behalf.
Provider NameOrthopedic And Spine Therapy Of Menasha Sc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1831260611
PECOS PAC ID: 8123923869
Enrollment ID: O20031204001068
Provider NameOrthopedic & Spine Therapy Of Green Bay Sc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1558477307
PECOS PAC ID: 3072416502
Enrollment ID: O20040130000723
Provider NameOrthopedic & Spine Therapy Of Clintonville, Sc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1528172988
PECOS PAC ID: 3072405505
Enrollment ID: O20040329000417
Provider NameOrthopedic & Spine Therapy Of Brillion, Sc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1154368843
PECOS PAC ID: 7416945688
Enrollment ID: O20040505000889
Provider NameOrthopedic & Spine Therapy Of Poplar Sc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1245249879
PECOS PAC ID: 0840276234
Enrollment ID: O20040626000068
Provider NameOrthopedic & Spine Therapy Of New London Sc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1437187135
PECOS PAC ID: 6901869411
Enrollment ID: O20041105000588
Provider NameOrthopedic & Spine Therapy Of Waupaca Sc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1548298284
PECOS PAC ID: 2365475878
Enrollment ID: O20050915000261
Provider NameOrthopedic & Spine Therapy Of Oshkosh, Sc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1952418816
PECOS PAC ID: 9830118033
Enrollment ID: O20051116001037
Provider NameOrthopedic & Spine Therapy Of Lakewood, Sc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1023338506
PECOS PAC ID: 0941499388
Enrollment ID: O20111202000180

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. Jerome G 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 AddressPractice Location Address
Jerome G Charles, PT
4000 N Providence Ave,
Appleton, WI 54913-8018

Ph: (920) 257-2005		Jerome G Charles, PT
211 N Broadway Ste 105,
Green Bay, WI 54303-2757

Ph: (920) 432-9040

Reviews and Comments


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Phone: 920-433-6700    Fax: 920-433-6719
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Phone: 605-830-8227    

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.

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