Mr Charles Daniel Falconer, MSN, CRNP, PMHNP-BC - Medicare Nurse Practitioner in Modesto, CA

Mr Charles Daniel Falconer, MSN, CRNP, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Modesto, California. His current practice location is 600 Coffee Rd, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 524-9401.

Mr Charles Daniel Falconer is licensed to practice in California (license number 95034112) 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 1770143430.

Contact Information

Mr Charles Daniel Falconer, MSN, CRNP, PMHNP-BC
600 Coffee Rd,
Modesto, CA 95355-4201
(209) 524-9401
Not Available

Map and Direction




Provider's Profile

Full NameMr Charles Daniel Falconer
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location600 Coffee Rd, Modesto, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770143430
  • Provider Enumeration Date: 06/15/2019
  • Last Update Date: 09/20/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6002247178
  • Enrollment ID: I20200506001382

Medical Identifiers

Medical identifiers for Mr Charles Daniel Falconer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770143430NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 111054-23 (New Hampshire)Secondary
163W00000XRegistered Nurse 95410984 (California)Secondary
163W00000XRegistered Nurse 111054-21 (New Hampshire)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 95034112 (California)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health SP021192 (Pennsylvania)Secondary
163W00000XRegistered Nurse RN694705 (Pennsylvania)Secondary

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. Mr Charles Daniel Falconer allows following entities to bill medicare on his behalf.
Entity NameCo Mhar Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013043702
PECOS PAC ID: 1951398452
Enrollment ID: O20040427001309

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. Mr Charles Daniel Falconer 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
Mr Charles Daniel Falconer, MSN, CRNP, PMHNP-BC
3425 Coffee Rd Ste A2,
Modesto, CA 95355-1582

Ph: (209) 524-9401
Mr Charles Daniel Falconer, MSN, CRNP, PMHNP-BC
600 Coffee Rd,
Modesto, CA 95355-4201

Ph: (209) 524-9401

Reviews and Comments


Nurse Practitioner Nurses in Modesto, CA

Anissa Brown,
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Ms. Margaret Baker, FNPC
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Practice Location: 1448 Florida Ave, Modesto, CA 95350
Phone: 209-523-1884    Fax: 209-523-2566
Ms. Fantine Warda, NP
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Medicare: Medicare Enrolled
Practice Location: 1700 Coffee Rd, Modesto, CA 95355
Phone: 209-526-4500    Fax: 209-572-7901
Shararah Aziz,
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Practice Location: 1700 Standiford Ave, Modesto, CA 95350
Phone: 209-676-3069    
Sarah Griffiths,
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Medicare: Accepting Medicare Assignments
Practice Location: 1801 Tully Rd Ste F, Modesto, CA 95350
Phone: 209-722-4842    Fax: 877-435-6573

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.