Mr Charles Severo, PA in Trumbull, CT - Medicare Physician Assistant

Mr Charles Severo, PA is a medicare enrolled "Physician Assistant" in Trumbull, Connecticut. His current practice location is 112 Quarry Road, Suite 400, Trumbull, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 333-8800.

Mr Charles Severo is licensed to practice in Connecticut (license number 003579) 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 1639529068.

Contact Information

	Mr Charles Severo, PA
	112 Quarry Road, Suite 400, Trumbull, CT 06611-4816
	(203) 333-8800
	(203) 333-6054

Map and Direction

Provider's Profile

Full Name	Mr Charles Severo
Gender	Male
Speciality	Physician Assistant
Location	112 Quarry Road, Trumbull, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639529068
Provider Enumeration Date: 06/16/2016
Last Update Date: 07/07/2016

Medicare PECOS Information:

PECOS PAC ID: 8123314481
Enrollment ID: I20160913000980

Medical Identifiers

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

Identifier	Type	State	Issuer
1639529068	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	003579 (Connecticut)	Primary

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 Severo 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 Severo, PA 112 Quarry Road, Suite 400, Trumbull, CT 06611-4816 Ph: (203) 333-8800	Mr Charles Severo, PA 112 Quarry Road, Suite 400, Trumbull, CT 06611-4816 Ph: (203) 333-8800

Reviews and Comments

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Mr Charles Severo, PA - Medicare Physician Assistant in Trumbull, CT