Charity A Mathis, DNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Gerrardstown, West Virginia. Her current practice location is
1115 Horners Sawmill Rd, Gerrardstown, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(561) 271-9244.
Charity A Mathis is licensed to practice in West Virginia (license number 111213) 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 1043796014.
Provider's Profile
| Full Name | Charity A Mathis |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 1115 Horners Sawmill Rd, Gerrardstown, West Virginia |
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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: 1043796014
- Provider Enumeration Date: 07/12/2018
- Last Update Date: 05/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 1557737814
- Enrollment ID: I20221012001524
Medical Identifiers
Medical identifiers for Charity A Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043796014 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 111213 (West Virginia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0024183967 (Virginia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024183967 (Virginia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AC007262 (Maryland) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 111213 (West Virginia) | 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. Charity A Mathis allows following entities to bill medicare on her behalf.
| Entity Name | Winchester Community Mental Health Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457593188
PECOS PAC ID: 9032249214
Enrollment ID: O20110314000792 |
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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. Charity A Mathis 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 |
|---|
Charity A Mathis, DNP
1115 Horners Sawmill Rd,
Gerrardstown, WV 25420-4276
Ph: (561) 271-9244 | Charity A Mathis, DNP
1115 Horners Sawmill Rd,
Gerrardstown, WV 25420-4276
Ph: (561) 271-9244 |
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