Dr Charles S Li, MD is a medicare enrolled "General Practice" physician in Crystal River, Florida. His current practice location is
7647 W Gulf To Lake Hwy, Suite 6, Crystal River, Florida. You can reach out to his office (for appointments etc.) via phone at
(352) 795-1718.
Dr Charles S Li is licensed to practice in Florida (license number ME0029731) 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 1689789380.
Physician's Profile
| Full Name | Dr Charles S Li |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 7647 W Gulf To Lake Hwy, Crystal River, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689789380
- Provider Enumeration Date: 08/20/2006
- Last Update Date: 12/29/2014
Medicare PECOS Information:
- PECOS PAC ID: 0840238663
- Enrollment ID: I20050421001337
Medical Identifiers
Medical identifiers for Dr Charles S Li such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1689789380 | NPI | - | NPPES |
| 660075100 | Medicaid | FL | |
| 035298500 | Medicaid | FL | |
| 42122 | Other | FL | BCBSFL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | ME0029731 (Florida) | 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 S Li allows following entities to bill medicare on his behalf.
| Entity Name | Nature Coast Geriatric Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417340654 PECOS PAC ID: 0244541282 Enrollment ID: O20150617003035 |
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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 S Li 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 S Li, MD 7647 W Gulf To Lake Hwy, Suite 6, Crystal River, FL 34429-7962 Ph: (352) 795-1718 | Dr Charles S Li, MD 7647 W Gulf To Lake Hwy, Suite 6, Crystal River, FL 34429-7962 Ph: (352) 795-1718 |
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