Mrs Ketania Marie Charles, in Hartford, CT - Medicare Nurse Practitioner

Mrs Ketania Marie Charles, is a medicare enrolled "Nurse Practitioner - Family" in Hartford, Connecticut. She graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Community Health Services Inc, Value Based Long Term Care H Pc, Step Up Care Pc Llc, Proactive Health Care Management Llc and her current practice location is 500 Albany Ave, Hartford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 249-9625.

Mrs Ketania Marie Charles is licensed to practice in Connecticut (license number 13544) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1528897022.

Contact Information

	Mrs Ketania Marie Charles,
	500 Albany Ave, Hartford, CT 06120-2508
	(860) 249-9625
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Ketania Marie Charles
Gender	Female
Speciality	Nurse Practitioner
Experience	1 Years
Location	500 Albany Ave, Hartford, Connecticut
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Ketania Marie Charles graduated from nursing school in 2024

NPI Data:

NPI Number: 1528897022
Provider Enumeration Date: 07/31/2024
Last Update Date: 10/20/2024

Medicare PECOS Information:

PECOS PAC ID: 2163950601
Enrollment ID: I20250110001840

Medical Identifiers

Medical identifiers for Mrs Ketania Marie Charles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528897022	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	13544 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Community Health Services Inc	3870564172	27
Value Based Long Term Care H Pc	4587104641	143
Step Up Care Pc Llc	5496088346	129
Proactive Health Care Management Llc	8022497874	17

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. Mrs Ketania Marie Charles allows following entities to bill medicare on her behalf.

Entity Name	Community Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730284605 PECOS PAC ID: 3870564172 Enrollment ID: O20040802000825

Entity Name	Step Up Care Pc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154884740 PECOS PAC ID: 5496088346 Enrollment ID: O20190607000156

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. Mrs Ketania Marie Charles 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
Mrs Ketania Marie Charles, 48 Collier Cir, Hamden, CT 06518-2002 Ph: (347) 822-7285	Mrs Ketania Marie Charles, 500 Albany Ave, Hartford, CT 06120-2508 Ph: (860) 249-9625

Reviews and Comments

Nurse Practitioner Nurses in Hartford, CT

Caitlin R Rival, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Retreat Ave, Hartford, CT 06106 Phone: 860-253-5020
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Marlo L Derla, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 31 Seymour St, Hartford, CT 06106 Phone: 860-972-0475
Olivia Holubecki, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 282 Washington St, Hartford, CT 06106 Phone: 860-545-9290

Mrs Ketania Marie Charles, - Medicare Nurse Practitioner in Hartford, CT