Charles Ridgeway Payne, in Fultondale, AL - Medicare Nurse Practitioner

Charles Ridgeway Payne, is a medicare enrolled "Nurse Practitioner" in Fultondale, Alabama. His current practice location is 3631 Grand Central Ave, Fultondale, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 535-6011.

Charles Ridgeway Payne is licensed to practice in Alabama (license number 1-171896) 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 1164128062.

Contact Information

	Charles Ridgeway Payne,
	3631 Grand Central Ave, Fultondale, AL 35068-1997
	(205) 535-6011
	Not Available

Map and Direction

Provider's Profile

Full Name	Charles Ridgeway Payne
Gender	Male
Speciality	Nurse Practitioner
Location	3631 Grand Central Ave, Fultondale, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164128062
Provider Enumeration Date: 02/01/2023
Last Update Date: 05/13/2025

Medicare PECOS Information:

PECOS PAC ID: 5092240044
Enrollment ID: I20241127001450

Medical Identifiers

Medical identifiers for Charles Ridgeway Payne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164128062	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1-171896 (Alabama)	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. Charles Ridgeway Payne allows following entities to bill medicare on his behalf.

Entity Name	Paragon Contracting Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225071459 PECOS PAC ID: 3971417825 Enrollment ID: O20050218000756

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. Charles Ridgeway Payne 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
Charles Ridgeway Payne, 3631 Grand Central Ave, Fultondale, AL 35068-1997 Ph: (205) 535-6011	Charles Ridgeway Payne, 3631 Grand Central Ave, Fultondale, AL 35068-1997 Ph: (205) 535-6011

Reviews and Comments

Nurse Practitioner Nurses in Fultondale, AL

Mrs. Jennifer Grace Peacock, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 339 Walker Chapel Plz Ste 115, Fultondale, AL 35068 Phone: 205-250-6424
Emily Burns, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 339 Walker Chapel Plz Ste 115, Fultondale, AL 35068 Phone: 205-250-6000
Mrs. Meleah Beth Yates, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1604 Stouts Rd, Fultondale, AL 35068 Phone: 205-849-9811
Daniel Nailor, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 339 Walker Chapel Plz, #115, Fultondale, AL 35068 Phone: 205-340-5712
Dr. Jennifer Amarachi Ukeje, DNP-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 782 Pullman Ln, Fultondale, AL 35068 Phone: 205-413-2285
Troy Henderson, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1604 Stouts Rd, Fultondale, AL 35068 Phone: 205-849-9811 Fax: 205-250-9812

Charles Ridgeway Payne, - Medicare Nurse Practitioner in Fultondale, AL