Charlsie Record, is a medicare enrolled "Nurse Practitioner - Family" physician in Oklahoma City, Oklahoma. She graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Riaz A. Sirajuddin Md Pc and her current practice location is
10413 Greenbriar Pkwy, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 691-4665.
Charlsie Record is licensed to practice in Oklahoma (license number R0104700) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972028249.
Physician's Profile
| Full Name | Charlsie Record |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 10413 Greenbriar Pkwy, Oklahoma City, Oklahoma |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Charlsie Record graduated from medical school in 2018
NPI Data:
- NPI Number: 1972028249
- Provider Enumeration Date: 08/08/2017
- Last Update Date: 02/24/2026
Medicare PECOS Information:
- PECOS PAC ID: 9537422936
- Enrollment ID: I20180418000429
Medical Identifiers
Medical identifiers for Charlsie Record such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972028249 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 104700 (Oklahoma) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R0104700 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Riaz A. Sirajuddin Md Pc | 7012988579 | 2 |
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. Charlsie Record allows following entities to bill medicare on her behalf.
| Entity Name | Riaz A. Sirajuddin Md Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508976648
PECOS PAC ID: 7012988579
Enrollment ID: O20040805001463 |
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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. Charlsie Record 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 |
|---|
Charlsie Record,
9101 Woodrow Ct,
Oklahoma City, OK 73169-3702
Ph: () - | Charlsie Record,
10413 Greenbriar Pkwy,
Oklahoma City, OK 73159-7656
Ph: (405) 691-4665 |
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