Charleen Gonden, CRNP in Berlin, MD - Medicare Nurse Practitioner

Charleen Gonden, CRNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Berlin, Maryland. Her current practice location is 9956 N Main St Unit 4, Berlin, Maryland. You can reach out to her office (for appointments etc.) via phone at (908) 418-3234.

Charleen Gonden is licensed to practice in Pennsylvania (license number SP018746) 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 1255822565.

Contact Information

	Charleen Gonden, CRNP
	9956 N Main St Unit 4, Berlin, MD 21811-1077
	(908) 418-3234
	Not Available

Map and Direction

Provider's Profile

Full Name	Charleen Gonden
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	9956 N Main St Unit 4, Berlin, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255822565
Provider Enumeration Date: 05/22/2018
Last Update Date: 11/10/2022

Medicare PECOS Information:

PECOS PAC ID: 3072850890
Enrollment ID: I20190131001814

Medical Identifiers

Medical identifiers for Charleen Gonden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255822565	NPI	-	NPPES
103524982	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R252429 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	SP018746 (Pennsylvania)	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. Charleen Gonden allows following entities to bill medicare on her behalf.

Entity Name	Holcomb Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083670590 PECOS PAC ID: 8729992458 Enrollment ID: O20031118000014

Entity Name	Community Services Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265426084 PECOS PAC ID: 1052201571 Enrollment ID: O20040318000465

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. Charleen Gonden 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
Charleen Gonden, CRNP 8500 Coastal Hwy Unit 906, Ocean City, MD 21842-7744 Ph: (908) 418-3234	Charleen Gonden, CRNP 9956 N Main St Unit 4, Berlin, MD 21811-1077 Ph: (908) 418-3234

Reviews and Comments

Nurse Practitioner Nurses in Berlin, MD

Pennie Dalton Savage, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9715 Healthway Dr, Berlin, MD 21811 Phone: 410-548-2343 Fax: 844-332-3891
John A Hancock, CRNP, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9715 Healthway Dr, Berlin, MD 21811 Phone: 410-548-2343 Fax: 844-332-3891
Lisa H Bayles, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10231 Old Ocean City Blvd, Suite 210, Berlin, MD 21811 Phone: 410-629-6870 Fax: 410-641-3140
Tracey Wooden, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9733 Healthway Dr, Berlin, MD 21811 Phone: 410-629-6886
Mrs. Leslie Ann Lake, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9858 Shore Break Ln Apt 311, Berlin, MD 21811 Phone: 912-689-9322
Dr. Jordan Pearson Braniff, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11101 Cathage Rd, Berlin, MD 21811 Phone: 410-912-6104
Ms. Julianne Judge Mcbride, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 314 Franklin Ave Ste 103, Berlin, MD 21811 Phone: 443-513-4231

Charleen Gonden, CRNP - Medicare Nurse Practitioner in Berlin, MD