Charlie M Hardin Jr, CFNP/ACNP - Medicare Nurse Practitioner in Walnut Grove, MS

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Charlie M Hardin Jr, CFNP/ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Walnut Grove, Mississippi. He graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Baptist Medical Center-leake, Inc. and his current practice location is 110 Park Street, Walnut Grove, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 253-0173.

Charlie M Hardin Jr is licensed to practice in Mississippi (license number R857156) 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 1669450037.

Contact Information

Charlie M Hardin Jr, CFNP/ACNP
110 Park Street,
Walnut Grove, MS 39189
(601) 253-0173
(601) 253-0176

Map and Direction




Provider's Profile

Full NameCharlie M Hardin Jr
GenderMale
SpecialityNurse Practitioner
Experience21 Years
Location110 Park Street, Walnut Grove, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charlie M Hardin Jr graduated from nursing school in 2003
  NPI Data:
  • NPI Number: 1669450037
  • Provider Enumeration Date: 01/05/2006
  • Last Update Date: 03/07/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8628049681
  • Enrollment ID: I20040803001282

Medical Identifiers

Medical identifiers for Charlie M Hardin Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669450037NPI-NPPES
03239875MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care R857156 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Medical Center-leakeCarthage, MSHospital
Mississippi Baptist Medical CenterJackson, MSHospital
S E Lackey Memorial HospitalForest, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baptist Medical Center-leake, Inc.721410296113

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. Charlie M Hardin Jr allows following entities to bill medicare on his behalf.
Entity NameIndependent Healthcare Management Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306909734
PECOS PAC ID: 0840197232
Enrollment ID: O20031215000487
Entity NameBaptist Medical Center-leake, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356626618
PECOS PAC ID: 7214102961
Enrollment ID: O20120112000444

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. Charlie M Hardin 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 AddressPractice Location Address
Charlie M Hardin Jr, CFNP/ACNP
965 Ridge Lake Blvd Ste 103,
Memphis, TN 38120-9446

Ph: (901) 227-3255		Charlie M Hardin Jr, CFNP/ACNP
110 Park Street,
Walnut Grove, MS 39189

Ph: (601) 253-0173

Reviews and Comments


Nurse Practitioner Nurses in Walnut Grove, MS

Constance Wilkerson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 110 Park St, Walnut Grove, MS 39189
Phone: 601-253-0173    Fax: 601-253-0176

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.