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

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Mrs Ketania Marie Charles, is a medicare enrolled "Nurse Practitioner - Family" in Hartford, Connecticut. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice 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 accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any 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 NameMrs Ketania Marie Charles
GenderFemale
SpecialityNurse Practitioner
Experience2 Years
Location500 Albany Ave, Hartford, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any 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.
IdentifierTypeStateIssuer
1528897022NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 13544 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Griffin HospitalDerby, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Proactive Health Care Management Llc802249787438

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 NameCommunity Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730284605
PECOS PAC ID: 3870564172
Enrollment ID: O20040802000825
Entity NameStep Up Care PC LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154884740
PECOS PAC ID: 5496088346
Enrollment ID: O20190607000156
Entity NameProactive Health Care Management LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811641145
PECOS PAC ID: 8022497874
Enrollment ID: O20220624000766
Entity NameCareconnectmd Connecticut P.C.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467187336
PECOS PAC ID: 4486037975
Enrollment ID: O20220816002266
Entity NameValue Based Long Term Care H PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134951676
PECOS PAC ID: 4587104641
Enrollment ID: O20240904003498
Entity NameHealthdrive Medical Services Southeast LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437930146
PECOS PAC ID: 4284075722
Enrollment ID: O20250806000049
Entity NameChronic Care Specialists of NJ PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114817020
PECOS PAC ID: 0547778995
Enrollment ID: O20251027000357

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 AddressPractice 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


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.