Charles Staples Jr, in Watertown, CT - Medicare Nurse Practitioner

Charles Staples Jr, is a medicare enrolled "Nurse Practitioner - Family" in Watertown, Connecticut. He graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Northeast Medical Group Inc and his current practice location is 205 Sylvan Lake Rd, Watertown, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 260-8744.

Charles Staples Jr is licensed to practice in Connecticut (license number F1015603) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598122947.

Contact Information

	Charles Staples Jr,
	205 Sylvan Lake Rd, Watertown, CT 06779-1450
	(203) 260-8744
	Not Available

Map and Direction

Provider's Profile

Full Name	Charles Staples Jr
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	205 Sylvan Lake Rd, Watertown, Connecticut
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charles Staples Jr graduated from nursing school in 2015

NPI Data:

NPI Number: 1598122947
Provider Enumeration Date: 01/15/2016
Last Update Date: 01/15/2016

Medicare PECOS Information:

PECOS PAC ID: 9830482348
Enrollment ID: I20160721000307

Medical Identifiers

Medical identifiers for Charles Staples Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598122947	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F1015603 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bridgeport Hospital	Bridgeport, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeast Medical Group Inc	1254233836	1287

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 Staples Jr allows following entities to bill medicare on his behalf.

Entity Name	Northeast Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043278351 PECOS PAC ID: 1254233836 Enrollment ID: O20040123000522

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 Staples Jr 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 Staples Jr, 205 Sylvan Lake Rd, Watertown, CT 06779-1450 Ph: (203) 260-8744	Charles Staples Jr, 205 Sylvan Lake Rd, Watertown, CT 06779-1450 Ph: (203) 260-8744

Reviews and Comments

Nurse Practitioner Nurses in Watertown, CT

Julia A Frankel, PMHNP-BC, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 27 Siemon Company Dr # 116w, Watertown, CT 06795 Phone: 802-779-0377
Melissa Meyer, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 70 Fieldwood Rd, Watertown, CT 06795 Phone: 860-866-6234
Kevin Charles King, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 380 Main St, Watertown, CT 06795 Phone: 860-274-8891
Alyssa Pesino, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 875 Bassett Rd, Watertown, CT 06795 Phone: 203-437-5542
Maegan Anderson, PMHNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 27 Siemon Company Dr Ste 115w, Watertown, CT 06795 Phone: 203-941-0033
Mr. Christopher Ward Moody, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 380 Main St, Watertown, CT 06795 Phone: 860-274-8891 Fax: 860-274-8895

Charles Staples Jr, - Medicare Nurse Practitioner in Watertown, CT