Mr Charles Jay Bawcom, APRN-RNP is a medicare enrolled "Nurse Practitioner - Family" in Grand Canyon, Arizona. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Medical Associates Of Northern New Mexico and his current practice location is
1 Clinic Rd # 369, Grand Canyon, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 638-2551.
Mr Charles Jay Bawcom is licensed to practice in Arizona (license number 241530) 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 1801419841.
Provider's Profile
| Full Name | Mr Charles Jay Bawcom |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 1 Clinic Rd # 369, Grand Canyon, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Charles Jay Bawcom graduated from nursing school in 2020
NPI Data:
- NPI Number: 1801419841
- Provider Enumeration Date: 05/26/2020
- Last Update Date: 04/21/2026
Medicare PECOS Information:
- PECOS PAC ID: 3274957493
- Enrollment ID: I20260430000059
Medical Identifiers
Medical identifiers for Mr Charles Jay Bawcom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801419841 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 241530 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Medical Associates Of Northern New Mexico | 1557354339 | 14 |
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 Jay Bawcom 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 Jay Bawcom, APRN-RNP
Po Box 1231,
Tucson, AZ 85702-1231
Ph: (520) 670-3909 | Mr Charles Jay Bawcom, APRN-RNP
1 Clinic Rd # 369,
Grand Canyon, AZ 86023-0290
Ph: (928) 638-2551 |
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