The Charleston Center, Inc is a medicare enrolled "Clinic/center - Rehabilitation" provider in Charlottesville, Virginia. Their current practice location is
1102 Rose Hill Dr, Charlottesville, Virginia. You can reach out to their office (for appointments etc.) via phone at
(434) 979-8628.
The Charleston Center, Inc is licensed to practice in * (Not Available) (license number N/A) and it also participates in the medicare program. The Charleston Center, Inc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1427150630.
Healthcare Provider's Profile
| Full Name | The Charleston Center, Inc |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center - Rehabilitation |
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| Location | 1102 Rose Hill Dr, Charlottesville, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1427150630
- Provider Enumeration Date: 09/01/2006
- Last Update Date: 02/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 9133387202
- Enrollment ID: O20241223002262
Medical Identifiers
Medical identifiers for The Charleston Center, Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427150630 | NPI | - | NPPES |
| 191481 | Other | VA | ANTHEM SLP |
| 250964 | Other | VA | SOUTHERN HEALTH |
| 4980671 | Other | VA | VIRGINIA PREMIER |
| 191482 | Other | VA | ANTHEM OT |
| 41486 | Other | VA | OPTIMA |
| 276503 | Other | VA | ANTHEM PT |
| 4980671 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| 261QR0400X | Clinic/center - Rehabilitation | N/A (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
The Charleston Center, Inc acts as a billing entity for following providers:
| Provider Name | Kerrie L Manthey |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1508994146
PECOS PAC ID: 8022545557
Enrollment ID: I20241223002772 |
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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. The Charleston Center, Inc 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 |
|---|
The Charleston Center, Inc
1102 Rose Hill Dr,
Charlottesville, VA 22903-5128
Ph: (434) 979-8628 | The Charleston Center, Inc
1102 Rose Hill Dr,
Charlottesville, VA 22903-5128
Ph: (434) 979-8628 |
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