River Clinton Charles, MD - Medicare Pathology in Little Rock, AR

River Clinton Charles, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Little Rock, Arkansas. His current practice location is 10810 Executive Center Dr Ste 100, Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 604-2695.

River Clinton Charles is licensed to practice in Arkansas (license number E-16945) 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 1134782535.

Contact Information

River Clinton Charles, MD
10810 Executive Center Dr Ste 100,
Little Rock, AR 72211-4386
(501) 604-2695
Not Available



Physician's Profile

Full NameRiver Clinton Charles
GenderMale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location10810 Executive Center Dr Ste 100, Little Rock, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134782535
  • Provider Enumeration Date: 04/21/2019
  • Last Update Date: 02/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3476998931
  • Enrollment ID: I20240223004177

Medical Identifiers

Medical identifiers for River Clinton Charles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134782535NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology E-16945 (Arkansas)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. River Clinton Charles allows following entities to bill medicare on his behalf.
Entity NameNephropathology Associates, Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649545195
PECOS PAC ID: 6901707405
Enrollment ID: O20120323000340

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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. River Clinton 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
River Clinton Charles, MD
10810 Executive Center Dr Ste 100,
Little Rock, AR 72211-4386

Ph: (501) 604-2695
River Clinton Charles, MD
10810 Executive Center Dr Ste 100,
Little Rock, AR 72211-4386

Ph: (501) 604-2695

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Pathology Doctors in Little Rock, AR

Dr. Larry Nicholas Cossey, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 10810 Executive Center Dr, Suite 100, Little Rock, AR 72211
Phone: 501-604-2695    
Hal Eugene Palmer,
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Lile Ct, Suite 101, Little Rock, AR 72205
Phone: 501-225-7711    Fax: 501-225-7108
Dr. Susan Alynn Kemp, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 602 N Monroe St, Little Rock, AR 72205
Phone: 501-414-9810    
Neslihan Cetin, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205
Phone: 501-686-8000    
Ms. Stephen Eric Sturdivant, MD
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 1 Saint Vincent Cir, Little Rock, AR 72205
Phone: 501-663-4116    Fax: 501-663-4301
Bradley Fogel, D.O.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205
Phone: 501-686-8000    
Dr. Nathan Edward Lee, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 4301 W Markham St # 517, Little Rock, AR 72205
Phone: 501-686-5356    

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