Charles Leon Branch Jr, MD is a medicare enrolled "Neurological Surgery" physician in Advance, North Carolina. His current practice location is
690 Burton Rd, Advance, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 978-8878.
Charles Leon Branch Jr is licensed to practice in North Carolina (license number 27027) 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 1821078403.
Physician's Profile
| Full Name | Charles Leon Branch Jr |
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| Gender | Male |
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| Speciality | Neurological Surgery |
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| Location | 690 Burton Rd, Advance, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1821078403
- Provider Enumeration Date: 01/19/2006
- Last Update Date: 12/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 9335284710
- Enrollment ID: I20100310000401
Medical Identifiers
Medical identifiers for Charles Leon Branch Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821078403 | NPI | - | NPPES |
| 21297 | Other | | MEDCOST |
| 2801 | Other | | PARTNERS |
| 8917801 | Medicaid | NC | |
| 140007841 | Other | | RR MEDICARE |
| 17801 | Other | | BCBS |
| Q27027 | Medicaid | SC | |
| 6134700 | Medicaid | VA | |
| 1840964000 | Medicaid | WV | |
| 4607330 | Other | | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207T00000X | Neurological Surgery | 27027 (North Carolina) | 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. Charles Leon Branch Jr allows following entities to bill medicare on his behalf.
| Entity Name | Wake Forest University Health Sciences |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003803032
PECOS PAC ID: 4486564952
Enrollment ID: O20031105000436 |
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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. Charles Leon Branch Jr 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 |
|---|
Charles Leon Branch Jr, MD
690 Burton Rd,
Advance, NC 27006-7506
Ph: (336) 978-8878 | Charles Leon Branch Jr, MD
690 Burton Rd,
Advance, NC 27006-7506
Ph: (336) 978-8878 |
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