Leslie Charles, PHD in Los Angeles, CA - Medicare Psychologist Provider

Leslie Charles, PHD is a medicare enrolled "Psychologist - Clinical" provider in Los Angeles, California. Her current practice location is 4929 Wilshire Blvd, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (760) 300-3664.

Leslie Charles is licensed to practice in California (license number PSY14140) 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 1114443397.

Contact Information

	Leslie Charles, PHD
	4929 Wilshire Blvd, Los Angeles, CA 90010-3808
	(760) 300-3664
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Leslie Charles
Gender	Female
Speciality	Psychologist - Clinical
Location	4929 Wilshire Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114443397
Provider Enumeration Date: 08/18/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 7810260429
Enrollment ID: I20170901002080

Medical Identifiers

Medical identifiers for Leslie Charles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114443397	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY14140 (California)	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. Leslie Charles allows following entities to bill medicare on her behalf.

Entity Name	Memory Check Psychological Services, A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912184219 PECOS PAC ID: 7416856422 Enrollment ID: O20040107001021

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. Leslie 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 Address	Practice Location Address
Leslie Charles, PHD 5838 Edison Pl, 100, Carlsbad, CA 92008-5520 Ph: (760) 300-3664	Leslie Charles, PHD 4929 Wilshire Blvd, Los Angeles, CA 90010-3808 Ph: (760) 300-3664

Reviews and Comments

Psychologist in Los Angeles, CA

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Dr. Adam Vogel, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 621 S Virgil Ave, #300, Los Angeles, CA 90005 Phone: 213-368-5400

Leslie Charles, PHD - Medicare Psychologist in Los Angeles, CA