Dr Charles William Bartholome, MD - Medicare Dermatology in Muncie, IN

Dr Charles William Bartholome, MD is a medicare enrolled "Dermatology" physician in Muncie, Indiana. His current practice location is 1808 W Royale Dr, Muncie, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 288-8188.

Dr Charles William Bartholome is licensed to practice in Indiana (license number 100348140) 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 1487656443.

Contact Information

Dr Charles William Bartholome, MD
1808 W Royale Dr,
Muncie, IN 47304-2243
(765) 288-8188
(765) 282-7242



Physician's Profile

Full NameDr Charles William Bartholome
GenderMale
SpecialityDermatology
Location1808 W Royale Dr, Muncie, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487656443
  • Provider Enumeration Date: 06/02/2005
  • Last Update Date: 05/29/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 6406988930
  • Enrollment ID: I20100720000422

Medical Identifiers

Medical identifiers for Dr Charles William Bartholome such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487656443NPI-NPPES
070002789OtherRAILROAD MEDICARE
000000084070OtherINBLUE CROSS/BLUE SHIELD
100348140MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 100348140 (Indiana)Primary
207ND0101XDermatology - Mohs-micrographic Surgery 100348140 (Indiana)Secondary
207ND0900XDermatology - Dermatopathology 100348140 (Indiana)Secondary

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 William Bartholome allows following entities to bill medicare on his behalf.
Entity NameDermatology Clinic Of Muncie, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477647303
PECOS PAC ID: 1153453683
Enrollment ID: O20100720000375

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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 William Bartholome 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
Dr Charles William Bartholome, MD
1808 W Royale Dr,
Muncie, IN 47304-2243

Ph: (765) 288-8188
Dr Charles William Bartholome, MD
1808 W Royale Dr,
Muncie, IN 47304-2243

Ph: (765) 288-8188

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Dermatology Doctors in Muncie, IN

Brett Austin, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2401 W University Ave, Muncie, IN 47303
Phone: 765-741-1095    
Michael K Crider, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3310 W Purdue Avenue, Muncie, IN 47304
Phone: 765-281-1400    Fax: 765-282-2133
Dr. Stephan Robert Sawicki, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 1808 W Royale Dr, Muncie, IN 47304
Phone: 765-288-8188    Fax: 765-282-7242
Dr. Lisa Ann Wilson, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3500 W Purdue Ave, Muncie, IN 47304
Phone: 765-747-6090    Fax: 765-747-5069
Steve George Bekas, M.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 401 W Mcgalliard Rd, Muncie, IN 47303
Phone: 765-288-6200    Fax: 765-288-4131
Deborah Sue Kuhlman, M.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 401 W Mcgalliard Rd, Muncie, IN 47303
Phone: 765-288-6200    Fax: 765-288-4131

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