Mr Charles Severo, PA - Medicare Physician Assistant in Trumbull, CT

Mr Charles Severo, PA is a medicare enrolled "Physician Assistant" in Trumbull, Connecticut. His current practice location is 112 Quarry Road, Suite 400, Trumbull, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 333-8800.

Mr Charles Severo is licensed to practice in Connecticut (license number 003579) 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 1639529068.

Contact Information

Mr Charles Severo, PA
112 Quarry Road, Suite 400,
Trumbull, CT 06611-4816
(203) 333-8800
(203) 333-6054



Provider's Profile

Full NameMr Charles Severo
GenderMale
SpecialityPhysician Assistant
Location112 Quarry Road, Trumbull, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639529068
  • Provider Enumeration Date: 06/16/2016
  • Last Update Date: 07/07/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 8123314481
  • Enrollment ID: I20160913000980

Medical Identifiers

Medical identifiers for Mr Charles Severo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639529068NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 003579 (Connecticut)Primary

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. Mr Charles Severo 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
Mr Charles Severo, PA
112 Quarry Road, Suite 400,
Trumbull, CT 06611-4816

Ph: (203) 333-8800
Mr Charles Severo, PA
112 Quarry Road, Suite 400,
Trumbull, CT 06611-4816

Ph: (203) 333-8800

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Physician Assistant Nurses in Trumbull, CT

Mrs. Alexis Grace Shaub, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5520 Park Ave, Trumbull, CT 06611
Phone: 203-502-8400    
Stephenie D Torre, PAC
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Practice Location: 15 Corporate Dr, Trumbull, CT 06611
Phone: 203-261-3980    Fax: 203-261-2747
Ms. Gul Rukh Khan, PA-C
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Phone: 203-543-8832    
Jessica Vaz Martins, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 160 Hawley Ln Ste 2, Trumbull, CT 06611
Phone: 203-375-3456    Fax: 203-380-3803
Jordan Marcou, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 5520 Park Ave, Trumbull, CT 06611
Phone: 203-373-7330    
Jacqueline Clarizio,
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Medicare: Medicare Enrolled
Practice Location: 5520 Park Ave Ste 300, Trumbull, CT 06611
Phone: 203-374-0310    
Zaheeda Zakir, PA-C
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Medicare: Medicare Enrolled
Practice Location: 146 Putting Green Rd, Trumbull, CT 06611
Phone: 203-685-8904    

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