Dr Mark Leon Charpentier, MD is a medicare enrolled "Emergency Medicine" physician in Floyds Knobs, Indiana. His current practice location is
4132 Andrew Dr, Floyds Knobs, Indiana. You can reach out to his office (for appointments etc.) via phone at
(502) 558-5990.
Dr Mark Leon Charpentier is licensed to practice in Indiana (license number 01058005A) 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 1720117195.
Physician's Profile
| Full Name | Dr Mark Leon Charpentier |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 4132 Andrew Dr, Floyds Knobs, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1720117195
- Provider Enumeration Date: 03/03/2007
- Last Update Date: 06/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 9032187273
- Enrollment ID: I20040924000227
Medical Identifiers
Medical identifiers for Dr Mark Leon Charpentier such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720117195 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 01058005A (Indiana) | Secondary |
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 01058005A (Indiana) | Secondary |
| 2080P0204X | Pediatrics - Pediatric Emergency Medicine | 01058005A (Indiana) | Secondary |
| 207P00000X | Emergency Medicine | 01058005A (Indiana) | 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 Mark Leon Charpentier allows following entities to bill medicare on his behalf.
| Entity Name | Norton - Kings Daughters Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114955093
PECOS PAC ID: 9739089319
Enrollment ID: O20040520001611 |
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| Entity Name | Jefferson Lake Emergency Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649608795
PECOS PAC ID: 5294962403
Enrollment ID: O20131216000018 |
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| Entity Name | Cep America Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285103671
PECOS PAC ID: 6608056171
Enrollment ID: O20190214000611 |
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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 Mark Leon Charpentier 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 Mark Leon Charpentier, MD
4132 Andrew Dr,
Floyds Knobs, IN 47119-9364
Ph: (502) 558-5990 | Dr Mark Leon Charpentier, MD
4132 Andrew Dr,
Floyds Knobs, IN 47119-9364
Ph: (502) 558-5990 |
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