Dr Charles Michael Irvin, DPM is a medicare enrolled "Podiatrist" provider in Fredericktown, Pennsylvania. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Centerville Clinics Inc and his current practice location is
1070 Old National Pike, Fredericktown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(724) 632-6801.
Dr Charles Michael Irvin is licensed to practice in Pennsylvania (license number SC002443L) 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 1457337032.
Healthcare Provider's Profile
| Full Name | Dr Charles Michael Irvin |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 42 Years |
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| Location | 1070 Old National Pike, Fredericktown, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Charles Michael Irvin graduated from medical school in 1982
NPI Data:
- NPI Number: 1457337032
- Provider Enumeration Date: 12/16/2005
- Last Update Date: 04/29/2008
Medicare PECOS Information:
- PECOS PAC ID: 3072641356
- Enrollment ID: I20100506000531
Medical Identifiers
Medical identifiers for Dr Charles Michael Irvin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457337032 | NPI | - | NPPES |
| 0984761 | Medicaid | PA | |
| 1007288440027 | Medicaid | PA | |
| 032094 | Other | PA | HIGHMARK |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213E00000X | Podiatrist | SC002443L (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Centerville Clinics Inc | 7214837202 | 39 |
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. Dr Charles Michael Irvin allows following entities to bill medicare on his behalf.
| Provider Name | Centerville Clinics Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1801877048
PECOS PAC ID: 7214837202
Enrollment ID: O20040427000681 |
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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. Dr Charles Michael Irvin 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 |
|---|
Dr Charles Michael Irvin, DPM
1070 Old National Pike,
Fredericktown, PA 15333-2114
Ph: (724) 632-6801 | Dr Charles Michael Irvin, DPM
1070 Old National Pike,
Fredericktown, PA 15333-2114
Ph: (724) 632-6801 |
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