Dr Charles Ted Paulk, MD in Dothan, AL - Medicare Family Medicine

Dr Charles Ted Paulk, MD is a medicare enrolled "Family Medicine" physician in Dothan, Alabama. His current practice location is 1245 Westgate Pkwy, Dothan, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 793-9595.

Dr Charles Ted Paulk is licensed to practice in Alabama (license number 6629) 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 1366429649.

Contact Information

	Dr Charles Ted Paulk, MD
	1245 Westgate Pkwy, Dothan, AL 36303
	(334) 793-9595
	(334) 793-1578

Map and Direction

Physician's Profile

Full Name	Dr Charles Ted Paulk
Gender	Male
Speciality	Family Medicine
Location	1245 Westgate Pkwy, Dothan, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366429649
Provider Enumeration Date: 12/28/2005
Last Update Date: 11/12/2009

Medicare PECOS Information:

PECOS PAC ID: 0648302562
Enrollment ID: I20100713000098

Medical Identifiers

Medical identifiers for Dr Charles Ted Paulk such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366429649	NPI	-	NPPES
000004912	Medicaid	AL
000018990	Medicaid	AL
051004912	Other	AL	BLUE CROSS
051018990	Other	AL	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	6629 (Alabama)	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 Ted Paulk allows following entities to bill medicare on his behalf.

Entity Name	Houston County Healthcare Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619026606 PECOS PAC ID: 9436062296 Enrollment ID: O20040219000209

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 Ted Paulk 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 Ted Paulk, MD 1245 Westgate Pkwy, Dothan, AL 36303 Ph: (334) 793-9595	Dr Charles Ted Paulk, MD 1245 Westgate Pkwy, Dothan, AL 36303 Ph: (334) 793-9595

Reviews and Comments

Family Medicine Doctors in Dothan, AL

Meagan Self Hoggle, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4300 W Main St Ste 300, Dothan, AL 36305 Phone: 334-446-0076 Fax: 334-446-0203
Gaynel Barry Taylor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1206 Columbia Hwy, Dothan, AL 36301 Phone: 334-677-5986 Fax: 334-677-4901
Dr. James R Staheli, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4300 W Main St Ste 300, Dothan, AL 36305 Phone: 334-446-0076 Fax: 334-446-0203
Dr. Carlos Stanford Clark Ii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Doctors Drive, Dothan, AL 36301 Phone: 334-794-6612 Fax: 334-794-6614
Ryan Shingler, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1245 Westgate Pkwy, Dothan, AL 36303 Phone: 334-793-9595 Fax: 334-793-6984
Dr. Jason Alan Zacks, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1920 Fairview Ave, Dothan, AL 36301 Phone: 334-678-1400 Fax: 334-678-1432
Mr. Jackie Steve Sherrer Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Westgate Pkwy, Dothan, AL 36303 Phone: 334-793-2120 Fax: 334-671-0228

Dr Charles Ted Paulk, MD - Medicare Family Medicine in Dothan, AL