Mr Charles Allen, NURSE PRACTITIONER is a
Clinic/center - Ambulatory Surgical based in Kansas City, Missouri. Mr Charles Allen is licensed to practice in Georgia (license number 1427617729) and his current practice location is
2321 Troost Ave Ste 101, Kansas City, Missouri. He can be reached at his office (for appointments etc.) via phone at
(816) 200-2409.
NPI number for Mr Charles Allen is 1275285751 and his current mailing address is Po Box 18361, Kansas City, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275285751.
Healthcare Provider's Profile
| Full Name | Mr Charles Allen |
|---|
| Gender | Male |
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| Speciality | Clinic/center - Ambulatory Surgical |
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| Location | 2321 Troost Ave Ste 101, Kansas City, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1275285751
- Provider Enumeration Date: 01/25/2022
- Last Update Date: 12/21/2023
Medical Identifiers
Medical identifiers for Mr Charles Allen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275285751 | NPI | - | NPPES |
| 2301 | Medicaid | MO | |
| 417 | Other | MO | NA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133VN1201X | Dietitian, Registered - Nutrition, Obesity And Weight Management | 134659711 (Missouri) | Secondary |
| 174V00000X | Clinical Ethicist | 1427617729 (Georgia) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | 1427617729 (Georgia) | 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 Allen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Charles Allen, NURSE PRACTITIONER
Po Box 18361,
Kansas City, MO 64133-8361
Ph: (816) 200-2409 | Mr Charles Allen, NURSE PRACTITIONER
2321 Troost Ave Ste 101,
Kansas City, MO 64108-2834
Ph: (816) 200-2409 |
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