Dr Ellis B Charles, MD in East Orange, NJ - Medicare Psychiatry & Neurology

Dr Ellis B Charles, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in East Orange, New Jersey. His current practice location is 90 Washington St, East Orange, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 672-2555.

Dr Ellis B Charles is licensed to practice in New Jersey (license number 25MA05127300) 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 1013046341.

Contact Information

	Dr Ellis B Charles, MD
	90 Washington St, East Orange, NJ 07017-1050
	(973) 672-2555
	(973) 672-2529

Map and Direction

Physician's Profile

Full Name	Dr Ellis B Charles
Gender	Male
Speciality	Psychiatry & Neurology - Psychiatry
Location	90 Washington St, East Orange, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013046341
Provider Enumeration Date: 03/04/2007
Last Update Date: 03/05/2013

Medicare PECOS Information:

PECOS PAC ID: 5597943324
Enrollment ID: I20110627000700

Medical Identifiers

Medical identifiers for Dr Ellis B Charles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013046341	NPI	-	NPPES
0866300	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	132910 (New York)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	25MA05127300 (New Jersey)	Primary
2084P0800X	Psychiatry & Neurology - Psychiatry	18284 (Georgia)	Secondary

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 Ellis B Charles allows following entities to bill medicare on his behalf.

Entity Name	Prospect Eogh Inc
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1760851893 PECOS PAC ID: 9931401437 Enrollment ID: O20151230000154

Entity Name	Eoh Acquisition Group, Llc
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1760851893 PECOS PAC ID: 4082009717 Enrollment ID: O20220331000358

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 Ellis B Charles 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 Ellis B Charles, MD 63 Longview Ave, Randolph, NJ 07869-3008 Ph: (973) 895-5062	Dr Ellis B Charles, MD 90 Washington St, East Orange, NJ 07017-1050 Ph: (973) 672-2555

Reviews and Comments

Psychiatry & Neurology Doctors in East Orange, NJ

Dr. Juan Orlando Falcon Mendez, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 385 Tremont Ave, East Orange, NJ 07018 Phone: 973-676-1000
Dr. Barry Edward Levin, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 385 Tremont Ave, Neurology Service (127c) Va Medical Center, East Orange, NJ 07018 Phone: 973-676-1000 Fax: 973-395-7112
Dr. Jeffrey Frankel, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 385 Tremont Avenue, Va Medical Center, East Orange, NJ 07018 Phone: 973-676-1000
Dr. William R. Mysels, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 385 Tremont Ave, East Orange, NJ 07018 Phone: 973-676-1000 Fax: 973-395-7766
Dr. Petru Ion Tintea, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 385 Tremont Ave, 116a, East Orange, NJ 07018 Phone: 973-676-1000
Dr. Peter Clowes Dowling, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 385 Tremont Ave, East Orange, NJ 07018 Phone: 973-676-1000

Dr Ellis B Charles, MD - Medicare Psychiatry & Neurology in East Orange, NJ