Charles R Kaplan, MD - Medicare Urology in Austell, GA

Charles R Kaplan, MD is a medicare enrolled "Urology" physician in Austell, Georgia. He went to Emory University School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Urology. He is a member of the group practice Georgia Urology, Pa, Urological Professional Services, Llc and his current practice location is 1700 Hospital South Dr, Suite 201, Austell, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 948-7228.

Charles R Kaplan is licensed to practice in Georgia (license number 048901) 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 1538261227.

Contact Information

Charles R Kaplan, MD
1700 Hospital South Dr, Suite 201,
Austell, GA 30106-6810
(770) 948-7228
(770) 745-1434

Map and Direction




Physician's Profile

Full NameCharles R Kaplan
GenderMale
SpecialityUrology
Experience30 Years
Location1700 Hospital South Dr, Austell, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charles R Kaplan attended and graduated from Emory University School Of Medicine in 1994
  NPI Data:
  • NPI Number: 1538261227
  • Provider Enumeration Date: 09/02/2006
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9335212364
  • Enrollment ID: I20101005000225

Medical Identifiers

Medical identifiers for Charles R Kaplan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1538261227NPI-NPPES
340019117OtherGARAILROAD MEDICARE
000879986AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 048901 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northside Hospital CherokeeCanton, GAHospital
Wellstar Cobb HospitalAustell, GAHospital
Northside HospitalAtlanta, GAHospital
Wellstar Douglas HospitalDouglasville, GAHospital
Wellstar Paulding HospitalHiram, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Georgia Urology, Pa892109437671
Urological Professional Services, Llc963839171756

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 R Kaplan allows following entities to bill medicare on his behalf.
Entity NameGeorgia Urology, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245250646
PECOS PAC ID: 8921094376
Enrollment ID: O20040422000123
Entity NameUrological Professional Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033521810
PECOS PAC ID: 9638391717
Enrollment ID: O20141104002579

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 R Kaplan 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
Charles R Kaplan, MD
1930 Brannan Rd,
Mcdonough, GA 30253-4310

Ph: (678) 284-4040
Charles R Kaplan, MD
1700 Hospital South Dr, Suite 201,
Austell, GA 30106-6810

Ph: (770) 948-7228

Reviews and Comments


Urology Doctors in Austell, GA

Dr. Christopher Gatlin Keith, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Hospital South Dr Ste 201, Austell, GA 30106
Phone: 770-948-7228    
Harvey A Mannes, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1700 Hospital South Dr, Suite 201, Austell, GA 30106
Phone: 770-948-7228    Fax: 770-745-1434
Warren Todd Oberle, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Hospital South Dr, Suite 201, Austell, GA 30106
Phone: 770-948-7228    Fax: 770-745-1434
Dr. Philip Rentz Rast, M.D.
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 1605 Mulkey Rd, Bldg 2, Suite 210, Austell, GA 30106
Phone: 770-739-2474    Fax: 770-944-6357

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.