Dr Charlotte Simone Nussbaum, MD is a medicare enrolled "Integrative Medicine" physician in Medford, New Jersey. Her current practice location is
103 Old Marlton Pike Ste 203, Medford, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(609) 969-4844.
Dr Charlotte Simone Nussbaum is licensed to practice in New Jersey (license number 25MA09337600) 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 1841425196.
Physician's Profile
| Full Name | Dr Charlotte Simone Nussbaum |
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| Gender | Female |
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| Speciality | Integrative Medicine |
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| Location | 103 Old Marlton Pike Ste 203, Medford, New Jersey |
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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: 1841425196
- Provider Enumeration Date: 05/15/2009
- Last Update Date: 08/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426283938
- Enrollment ID: I20131108000038
Medical Identifiers
Medical identifiers for Dr Charlotte Simone Nussbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1841425196 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 202D00000X | Integrative Medicine | 25MA09337600 (New Jersey) | 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 Charlotte Simone Nussbaum allows following entities to bill medicare on her behalf.
| Entity Name | Cooper Physician Offices PA |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154369510 PECOS PAC ID: 2860396611 Enrollment ID: O20031122000067 |
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| Entity Name | Cooper Pediatrics |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144268277 PECOS PAC ID: 3072415629 Enrollment ID: O20040123000330 |
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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 Charlotte Simone Nussbaum 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 Charlotte Simone Nussbaum, MD 103 Old Marlton Pike Ste 203, Medford, NJ 08055-8772 Ph: (609) 969-4844 | Dr Charlotte Simone Nussbaum, MD 103 Old Marlton Pike Ste 203, Medford, NJ 08055-8772 Ph: (609) 969-4844 |
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