Charles S Small, PHD is a medicare enrolled "Psychologist - Clinical" provider in Greenwood, Mississippi. He graduated from medical school in 1973 and has 53 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Region Vi Community Mental Health Commission and his current practice location is
2504 Browning Road 520, Greenwood, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 453-6211.
Charles S Small is licensed to practice in Mississippi (license number 8110) 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 1871848952.
Healthcare Provider's Profile
| Full Name | Charles S Small |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 53 Years |
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| Location | 2504 Browning Road 520, Greenwood, Mississippi |
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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. |
Medical Education and Training:
- Charles S Small graduated from medical school in 1973
NPI Data:
- NPI Number: 1871848952
- Provider Enumeration Date: 07/16/2012
- Last Update Date: 07/16/2012
Medicare PECOS Information:
- PECOS PAC ID: 4284880741
- Enrollment ID: I20120816000131
Medical Identifiers
Medical identifiers for Charles S Small such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1871848952 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC0700X | Psychologist - Clinical | 8110 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Region Vi Community Mental Health Commission | 0749183663 | 8 |
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. Charles S Small allows following entities to bill medicare on his behalf.
| Entity Name | Region Vi Community Mental Health Commission |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154433233 PECOS PAC ID: 0749183663 Enrollment ID: O20040129000045 |
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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. Charles S Small 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 |
Charles S Small, PHD 2504 Browning Road 520, Greenwood, MS 38930-6022 Ph: (662) 453-6211 | Charles S Small, PHD 2504 Browning Road 520, Greenwood, MS 38930-6022 Ph: (662) 453-6211 |
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