Mr Charles Mark Middleton, PA-C is a medicare enrolled "Physician Assistant" in Marmora, New Jersey. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Coyle S Connolly Do Pa and his current practice location is
108 Roosevelt Blvd, Marmora, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(609) 926-8899.
Mr Charles Mark Middleton is licensed to practice in New Jersey (license number 25MP00242100) 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 1972810836.
Provider's Profile
| Full Name | Mr Charles Mark Middleton |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 14 Years |
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| Location | 108 Roosevelt Blvd, Marmora, New Jersey |
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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 Mark Middleton graduated from nursing school in 2010
NPI Data:
- NPI Number: 1972810836
- Provider Enumeration Date: 09/13/2010
- Last Update Date: 06/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 1456531748
- Enrollment ID: I20110203000223
Medical Identifiers
Medical identifiers for Mr Charles Mark Middleton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972810836 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 25MP00242100 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Coyle S Connolly Do Pa | 2961498118 | 24 |
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 Mark Middleton 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 Mark Middleton, PA-C
425 Jack Martin Blvd,
Brick, NJ 08724-7732
Ph: (732) 840-2200 | Mr Charles Mark Middleton, PA-C
108 Roosevelt Blvd,
Marmora, NJ 08223-1403
Ph: (609) 926-8899 |
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