| Dr Charles S Li, MD | |
|
7647 W Gulf To Lake Hwy, Suite 6, Crystal River, FL 34429-7962 | |
| (352) 795-1718 | |
| (352) 795-7898 |
| Full Name | Dr Charles S Li |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 7647 W Gulf To Lake Hwy, Crystal River, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689789380 | NPI | - | NPPES |
| 660075100 | Medicaid | FL | |
| 035298500 | Medicaid | FL | |
| 42122 | Other | FL | BCBSFL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME0029731 (Florida) | Primary |
| Entity Name | Nature Coast Geriatric Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417340654 PECOS PAC ID: 0244541282 Enrollment ID: O20150617003035 |
| 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 |
Franz Josef Plum, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1250 N Vantage Point Dr, Crystal River, FL 34429 Phone: 352-795-0644 Fax: 352-795-5950 | |
Klaudio Alla, MD General Practice Medicare: Medicare Enrolled Practice Location: 1550 N Shockley Loop, Crystal River, FL 34429 Phone: 352-795-1999 Fax: 352-795-2269 |