Charlene Davis, PMHNP in Roseburg, OR - Medicare Nurse Practitioner

Charlene Davis, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Roseburg, Oregon. She graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Evergreen Family Medicine Pc, Centennial Medical Group East Llc and her current practice location is 2570 Nw Edenbower Blvd Ste 100, Roseburg, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 677-7200.

Charlene Davis is licensed to practice in Oregon (license number 10022152) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023728573.

Contact Information

	Charlene Davis, PMHNP
	2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214
	(541) 677-7200
	(541) 229-3309

Map and Direction

Provider's Profile

Full Name	Charlene Davis
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	2570 Nw Edenbower Blvd Ste 100, Roseburg, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charlene Davis graduated from nursing school in 2022

NPI Data:

NPI Number: 1023728573
Provider Enumeration Date: 11/23/2022
Last Update Date: 02/27/2024

Medicare PECOS Information:

PECOS PAC ID: 7416395496
Enrollment ID: I20240410000777

Medical Identifiers

Medical identifiers for Charlene Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023728573	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	10022152 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Evergreen Family Medicine Pc	3870485139	53
Centennial Medical Group East Llc	9234397878	61

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. Charlene Davis allows following entities to bill medicare on her behalf.

Entity Name	Centennial Medical Group East Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134436637 PECOS PAC ID: 9234397878 Enrollment ID: O20120228000510

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. Charlene Davis 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
Charlene Davis, PMHNP 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 Ph: (541) 677-7200	Charlene Davis, PMHNP 2570 Nw Edenbower Blvd Ste 100, Roseburg, OR 97471-6214 Ph: (541) 677-7200

Reviews and Comments

Nurse Practitioner Nurses in Roseburg, OR

Ian Andrew Thomas, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2460 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471 Phone: 541-229-2663
Ms. Jo Ann G. Berenbach, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Building 2 Mhc, Roseburg, OR 97470 Phone: 541-440-1000 Fax: 541-440-1356
Carol Lynn Collins, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1000
Sherri Twedt, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-440-1000
Sunny L May, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2460 Nw Stewart Pkwy, Suite 240, Roseburg, OR 97471 Phone: 541-677-4427 Fax: 541-677-6522
Mr. Donald L Bons, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 W Umpqua St, Roseburg, OR 97471 Phone: 541-464-7100

Charlene Davis, PMHNP - Medicare Nurse Practitioner in Roseburg, OR