Mr Charles Arthur Gildrie, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Loudon, Tennessee. He graduated from medical school in 1983 and has 41 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Ipc Pac Healthcare Services Of Tennessee Pc and his current practice location is
1520 Grove St, Loudon, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 282-1480.
Mr Charles Arthur Gildrie is licensed to practice in Tennessee (license number 982) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053303438.
Healthcare Provider's Profile
Full Name | Mr Charles Arthur Gildrie |
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Gender | Male |
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Speciality | Clinical Social Worker |
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Experience | 41 Years |
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Location | 1520 Grove St, Loudon, Tennessee |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Charles Arthur Gildrie graduated from medical school in 1983
NPI Data:
- NPI Number: 1053303438
- Provider Enumeration Date: 08/22/2005
- Last Update Date: 03/26/2015
Medicare PECOS Information:
- PECOS PAC ID: 3577623545
- Enrollment ID: I20081120000413
Medical Identifiers
Medical identifiers for Mr Charles Arthur Gildrie such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053303438 | NPI | - | NPPES |
3693905 | Medicaid | TN | |
0149943 | Other | TN | BLUE CROSS/BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 982 (Tennessee) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Ipc Pac Healthcare Services Of Tennessee Pc | 0840587572 | 64 |
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. Mr Charles Arthur Gildrie allows following entities to bill medicare on his behalf.
Entity Name | Southeastern Physician Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20071025000571 |
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Entity Name | Ipc Pac Healthcare Services Of Tennessee Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104277656 PECOS PAC ID: 0840587572 Enrollment ID: O20160928000541 |
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Entity Name | Nv Pacs 2 Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210903001263 |
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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. Mr Charles Arthur Gildrie 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 |
Mr Charles Arthur Gildrie, LCSW 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615-4998 Ph: (423) 282-1480 | Mr Charles Arthur Gildrie, LCSW 1520 Grove St, Loudon, TN 37774-1575 Ph: (423) 282-1480 |
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