Joseph Bernard Charles, FNP-BC in Agoura Hills, CA - Medicare Nurse Practitioner

Joseph Bernard Charles, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Agoura Hills, California. His current practice location is 5623 Kanan Rd, Agoura Hills, California. You can reach out to his office (for appointments etc.) via phone at (818) 991-5522.

Joseph Bernard Charles is licensed to practice in California (license number 95008352) 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 1649758962.

Contact Information

	Joseph Bernard Charles, FNP-BC
	5623 Kanan Rd, Agoura Hills, CA 91301-3358
	(818) 991-5522
	Not Available

Provider's Profile

Full Name	Joseph Bernard Charles
Gender	Male
Speciality	Nurse Practitioner - Family
Location	5623 Kanan Rd, Agoura Hills, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649758962
Provider Enumeration Date: 07/30/2018
Last Update Date: 04/25/2022

Medicare PECOS Information:

PECOS PAC ID: 4880945872
Enrollment ID: I20220609001065

Medical Identifiers

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

Identifier	Type	State	Issuer
1649758962	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95008352 (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. Joseph Bernard Charles allows following entities to bill medicare on his behalf.

Entity Name	Asian Americans For Community Involvement Of Santa Clara County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750490363 PECOS PAC ID: 7719880533 Enrollment ID: O20040129000646

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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. Joseph Bernard 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
Joseph Bernard Charles, FNP-BC 2400 Moorpark Ave, Ste 300, San Jose, CA 95128-2680 Ph: (415) 827-9253	Joseph Bernard Charles, FNP-BC 5623 Kanan Rd, Agoura Hills, CA 91301-3358 Ph: (818) 991-5522

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Nurse Practitioner Nurses in Agoura Hills, CA

Aryan Jamali, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30423 Canwood St Ste 225, Agoura Hills, CA 91301 Phone: 818-871-9518 Fax: 818-871-9521
Collette Lee King, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29525 Canwood St, Suite 300, Agoura Hills, CA 91301 Phone: 818-706-2477 Fax: 818-706-2368
Jennifer Rusnanto Ng, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29525 Canwood St Ste 200, Agoura Hills, CA 91301 Phone: 818-699-6553
Young Tae Lee, PNHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 30423 Canwood St Ste 123, Agoura Hills, CA 91301 Phone: 818-385-1219 Fax: 818-385-1600
Eunice Fernandez, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5623 Kanan Rd, Agoura Hills, CA 91301 Phone: 818-991-5522
Joeline Ellison, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 29343 Wagon Rd, Agoura Hills, CA 91301 Phone: 310-367-6210
Yana Tregubova Khilkevich, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 28720 Roadside Dr # 333, Agoura Hills, CA 91301 Phone: 818-267-4154

Joseph Bernard Charles, FNP-BC - Medicare Nurse Practitioner in Agoura Hills, CA

Contact Information

Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Nurse Practitioner Nurses in Agoura Hills, CA