Deborah J Charles, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Cordele, Georgia. Her current practice location is
902 N 7th St, Cordele, Georgia. You can reach out to her office (for appointments etc.) via phone at
(229) 276-3356.
Deborah J Charles is licensed to practice in Georgia (license number 028742) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053396739.
Physician's Profile
| Full Name | Deborah J Charles |
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| Gender | Female |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 902 N 7th St, Cordele, Georgia |
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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: 1053396739
- Provider Enumeration Date: 12/14/2005
- Last Update Date: 04/01/2010
Medicare PECOS Information:
- PECOS PAC ID: 0648377390
- Enrollment ID: I20100623000372
Medical Identifiers
Medical identifiers for Deborah J Charles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053396739 | NPI | - | NPPES |
| 000400562L | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | 028742 (Georgia) | 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. Deborah J Charles allows following entities to bill medicare on her behalf.
| Entity Name | South Georgia Radiology Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760669931
PECOS PAC ID: 0042389231
Enrollment ID: O20080514000110 |
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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. Deborah J Charles 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 |
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Deborah J Charles, MD
Po Box 138,
Columbus, GA 31902-0138
Ph: (229) 276-3356 | Deborah J Charles, MD
902 N 7th St,
Cordele, GA 31015-3234
Ph: (229) 276-3356 |
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