Mr. Charles Douglas Balcome is a Phoenix, Arizona based nurse practitioner with 7 years of experience in Acute Care. He completed his graduation in 2018. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Charles Douglas Balcome is AP11604 for Acute Care in Arizona. His current practice location is 16601 N 40th St Ste 204, Phoenix. Patients can reach him at 602-633-3721 or can fax him at 602-595-1127. Mr. Charles Douglas Balcome is ACNP with specialization in Acute Care and his NPI number (Unique professional ID assigned by NPPES) is 1376027557. Mr. Charles Douglas Balcome is a licensed independent practitioner and may autonomously provide care. He provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Mr. Charles Douglas Balcome speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mr. Charles Douglas Balcome
Specialization:
Acute Care Nurse Practitioner (ACNP)
Gender:
Male
Credentials:
ACNP
Experience:
7+ years
Medical School Attended:
Other
Graduation Year:
2018
Accepts Medicare Assignment:
Yes
Practice Address:
16601 N 40th St Ste 204, Phoenix, Arizona, 85032-3356
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:
8921342767
Enrollment ID:
I20181204003698
NPI Number:
1376027557
NPI Enumeration Date:
24 Sep, 2018
NPI Last Update On:
20 Oct, 2021
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Charles Douglas Balcome are as mentioned below.
License Number
Specialization
State
Status
AP11604
Acute Care
Arizona
Primary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(030092)
Phoenix, AZ
Acute Care Hospital
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 Mr. Charles Douglas Balcome is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Honorhealth (1456258607)
32
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Charles Douglas Balcome such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
443489
Medicaid
Arizona
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mr. Charles Douglas Balcome 22331 N 79th Dr, Peoria, Arizona
Zip:
85383-2157
Phone Number:
602-335-9374
Patients can reach Mr. Charles Douglas Balcome at 16601 N 40th St Ste 204, Phoenix, Arizona or can call to book an appointment on 602-633-3721.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.