Dr Charles Hm Jacques, MD is a medicare enrolled "Family Medicine" physician in Dawes, West Virginia. His current practice location is
5722 Cabin Creek Rd, Dawes, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 595-5006.
Dr Charles Hm Jacques is licensed to practice in West Virginia (license number 17181) 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 1073577524.
Physician's Profile
| Full Name | Dr Charles Hm Jacques |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 5722 Cabin Creek Rd, Dawes, West Virginia |
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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: 1073577524
- Provider Enumeration Date: 04/13/2006
- Last Update Date: 05/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 7517853773
- Enrollment ID: I20040224001312
Medical Identifiers
Medical identifiers for Dr Charles Hm Jacques such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073577524 | NPI | - | NPPES |
| 0053482000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 17181 (West Virginia) | 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. Dr Charles Hm Jacques allows following entities to bill medicare on his behalf.
| Entity Name | Cabin Creek Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366495525
PECOS PAC ID: 2466431101
Enrollment ID: O20130905000096 |
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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. Dr Charles Hm Jacques 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 |
|---|
Dr Charles Hm Jacques, MD
Po Box 70,
Dawes, WV 25054-0070
Ph: (304) 734-2040 | Dr Charles Hm Jacques, MD
5722 Cabin Creek Rd,
Dawes, WV 25054-0000
Ph: (304) 595-5006 |
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