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Charlene Carolyn Scotton

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2015 Grand Concourse, Bronx, NY 10453-4303

PECOS Enrollment

This provider is enrolled in PECOS as CHARLENE SCOTTON.

Based on the most recent information from CMS, provider Charlene Carolyn Scotton is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1164934394
Provider Type
Individual
Full Name
Scotton, Charlene Carolyn
Title
Ms.
Credential
NP

Gender
Female
Sole Proprietor
No
Enumeration Date
10/27/2017
Last Updated
7/6/2020

Contact Information

Practice Location

2015 Grand Concourse, Bronx, NY 10453-4303

(718) 299-7295

(718) 299-6797

Mailing Location

1434 Williamsbridge Rd Fl 2, Bronx, NY 10461-2507

(718) 618-0401

(347) 479-1303

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License F342360 New York

Charlene Carolyn Scotton

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Moran, Lesly

Joseph, Sneha

Thyme, Ebony Princess

Jasmin, Johanne

Ramsay-Dasent, Dawn J

Chris-Emenike, Chinwe Chidinma

Rengel, Darrel

Herman, Dara

Zhang, Xiao

Chris-Onuoha, Joy