Charles Eldridge Iii

PMHNP | Nurse Practitioner - Psych/Mental Health | 4+ years Exp

5548 N Farmer Branch Rd, Ozark
  Missouri, 65721-5315
417-322-6622
Accepts Medicare Nurse Anesthetist in Ozark, Missouri.
Charles Eldridge Iii is a Ozark, Missouri based nurse practitioner with 4 years of experience in Psych/Mental Health. He completed his graduation in 2020. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Charles Eldridge Iii is 2021022694 for Psych/Mental Health in Missouri. His current practice location is 5548 N Farmer Branch Rd, Ozark. Patients can reach him at 417-322-6622 or can fax him at 417-350-1935. Charles Eldridge Iii is PMHNP with specialization in Psych/Mental Health and his NPI number (Unique professional ID assigned by NPPES) is 1871162206.
Charles Eldridge Iii provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Charles Eldridge Iii speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Charles Eldridge Iii
Specialization: Psych/Mental Health Nurse Practitioner (PMHNP)
Gender:Male
Credentials: PMHNP
Experience: 4+ years
Medical School Attended:Other
Graduation Year:2020
Accepts Medicare Assignment:Yes
Practice Address:5548 N Farmer Branch Rd, Ozark,
Missouri, 65721-5315
Phone:417-322-6622
Fax:417-350-1935
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 7113328857
Enrollment ID: I20210712000273
NPI Number: 1871162206
NPI Enumeration Date: 21 Jun, 2021
NPI Last Update On: 17 Apr, 2023

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Charles Eldridge Iii are as mentioned below.
License NumberSpecializationStateStatus
2021022694Psych/Mental Health MissouriPrimary
218639Psych/Mental Health ArkansasSecondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Charles Eldridge Iii is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Honour Brite Llc (3971864588)20
Honour Brite Llc (3971864588)20
Other Medical Identifiers:
Other legacy medical identifiers associated with Charles Eldridge Iii such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
281907758MedicaidArkansas
420097472MedicaidMissouri
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Charles Eldridge Iii
3600 S National Ave,
Springfield, Missouri
Zip: 65807-7311
Phone Number: 417-322-6622
Fax Number: 417-350-1935
Patients can reach Charles Eldridge Iii at 5548 N Farmer Branch Rd, Ozark, Missouri or can call to book an appointment on 417-322-6622.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.