Charlene Marie Gantt, CRNP PMH in Frederick, MD

Charlene Marie Gantt, CRNP PMH is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Frederick, Maryland. She graduated from nursing school in 2001 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mosaic Community Services, Inc and her current practice location is 5970 Frederick Crossing Ln Ste 100, Frederick, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 415-6373.

Charlene Marie Gantt is licensed to practice in Virginia (license number 0024170482) 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 1760726269.

Contact Information

	Charlene Marie Gantt, CRNP PMH
	5970 Frederick Crossing Ln Ste 100, Frederick, MD 21704-5176
	(240) 415-6373
	Not Available

Map and Direction

Provider's Profile

Full Name	Charlene Marie Gantt
Gender	Female
Speciality	Nurse Practitioner
Experience	25 Years
Location	5970 Frederick Crossing Ln Ste 100, Frederick, Maryland
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 Marie Gantt graduated from nursing school in 2001

NPI Data:

NPI Number: 1760726269
Provider Enumeration Date: 11/21/2012
Last Update Date: 05/26/2026

Medicare PECOS Information:

PECOS PAC ID: 3072758556
Enrollment ID: I20160804000040

Medical Identifiers

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

Identifier	Type	State	Issuer
1760726269	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0024170482 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Frederick Health Hospital	Frederick, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mosaic Community Services, Inc	0941289417	60

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 Marie Gantt allows following entities to bill medicare on her behalf.

Entity Name	Sheppard Pratt Physicians Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518990712 PECOS PAC ID: 8224937610 Enrollment ID: O20040105000737

Entity Name	Way Station Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124490784 PECOS PAC ID: 8628064151 Enrollment ID: O20040421001136

Entity Name	Mosaic Community Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265539142 PECOS PAC ID: 0941289417 Enrollment ID: O20040717000385

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 Marie Gantt 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 Marie Gantt, CRNP PMH 515 Mound Builder Loop, Hedgesville, WV 25427-7833 Ph: (240) 415-8893	Charlene Marie Gantt, CRNP PMH 5970 Frederick Crossing Ln Ste 100, Frederick, MD 21704-5176 Ph: (240) 415-6373

Reviews and Comments

Nurse Practitioner Nurses in Frederick, MD

Kent Elias Perttula, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 W 7th St, Frederick, MD 21701 Phone: 240-215-6310 Fax: 240-566-7754
Cristelle Dipita, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 136 Sunlight Ct, Frederick, MD 21702 Phone: 470-776-1894
Ms. Kimberly Lyn Zeren, CRNP- FAMILY Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 45 Thomas Johnson Dr, Suite 109, Frederick, MD 21702 Phone: 301-696-1011 Fax: 301-696-1520
Ingrid Halvorson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1562 Opossumtown Pike, Frederick, MD 21702 Phone: 301-662-8477
Issa Tew Lo, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 814 Toll House Ave, Frederick, MD 21701 Phone: 301-662-8310
Andrea Mae Vanessa Ward, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 7100 Guilford Dr Ste 100, Frederick, MD 21704 Phone: 227-223-0002
Ms. Patricia A. Rice, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1562 Opossumtown Pike, Frederick, MD 21702 Phone: 301-662-8477

Charlene Marie Gantt, CRNP PMH - Medicare Nurse Practitioner in Frederick, MD