Mr Charles Itoe Misori, CRNP in Dallas, TX - Medicare Nurse Practitioner

Mr Charles Itoe Misori, CRNP is a medicare enrolled "Nurse Practitioner" in Dallas, Texas. His current practice location is 2223 S Buckner Blvd, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (305) 266-2929.

Mr Charles Itoe Misori is licensed to practice in Alabama (license number 1094507) 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 1629171293.

Contact Information

	Mr Charles Itoe Misori, CRNP
	2223 S Buckner Blvd, Dallas, TX 75227-8646
	(305) 266-2929
	(786) 558-0242

Map and Direction

Provider's Profile

Full Name	Mr Charles Itoe Misori
Gender	Male
Speciality	Nurse Practitioner
Location	2223 S Buckner Blvd, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629171293
Provider Enumeration Date: 09/07/2006
Last Update Date: 01/05/2023

Medicare PECOS Information:

PECOS PAC ID: 6709885338
Enrollment ID: I20070105000118

Medical Identifiers

Medical identifiers for Mr Charles Itoe Misori such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629171293	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1094507 (Alabama)	Primary
363LF0000X	Nurse Practitioner - Family	1094507 (Alabama)	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 Itoe Misori allows following entities to bill medicare on his behalf.

Entity Name	Sleep & Pulmonary Care Center, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346406469 PECOS PAC ID: 5799850731 Enrollment ID: O20080826000497

Entity Name	Family Health Care Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184857195 PECOS PAC ID: 5395656946 Enrollment ID: O20100628001034

Entity Name	Shc Medical Partners Of Alabama, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750787727 PECOS PAC ID: 5294045571 Enrollment ID: O20151117002630

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 Itoe Misori 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
Mr Charles Itoe Misori, CRNP 14500 Dallas Pkwy, Dallas, TX 75254-8360 Ph: (256) 694-1277	Mr Charles Itoe Misori, CRNP 2223 S Buckner Blvd, Dallas, TX 75227-8646 Ph: (305) 266-2929

Reviews and Comments

Nurse Practitioner Nurses in Dallas, TX

Mrs. Darleen Dansby, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1513 Viceroy Dr, Dallas, TX 75235 Phone: 469-685-7020 Fax: 214-920-7020
Ms. Kimberley Shenee Player, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8604 Greenville Ave Ste 103a, Dallas, TX 75243 Phone: 214-702-5855
Teresa Anna Jones, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 973-801-0173
Christina Hagood, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6301 Gaston Ave, Suite 100, West Tower, Dallas, TX 75214 Phone: 214-827-3610 Fax: 214-821-4017
Susan C. Chesire, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3600 Gaston Ave, Wadley Tower, Suite 651, Dallas, TX 75246 Phone: 214-820-9115 Fax: 214-820-9135
Mrs. Larah Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3209 W Camp Wisdom Rd, Dallas, TX 75237 Phone: 469-966-9660 Fax: 877-667-6112
Michele Willet Rylander, RN, MSN, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1935 Medical District Dr, Dallas, TX 75235 Phone: 214-456-7000

Mr Charles Itoe Misori, CRNP - Medicare Nurse Practitioner in Dallas, TX