Charles E Bloodsworth, CRNA | |
4200 Houma Blvd, Metairie, LA 70006-2970 | |
(504) 779-5515 | |
Not Available |
Full Name | Charles E Bloodsworth |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 19 Years |
Location | 4200 Houma Blvd, Metairie, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356418982 | NPI | - | NPPES |
1509043 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 101632 (Louisiana) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP05006 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Tammany Parish Hospital | Covington, LA | Hospital |
Our Lady Of The Lake Regional Medical Center | Baton rouge, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesiology Group Associates Inc | 0042110298 | 141 |
Total Anesthesia Care Stph Llc | 0749255909 | 50 |
Aec Physicians, Llc | 6305983214 | 11 |
Entity Name | Anesthesiology Group Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255399598 PECOS PAC ID: 0042110298 Enrollment ID: O20040113000117 |
Entity Name | Childrens Hospital Anesthesia Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649362740 PECOS PAC ID: 0446152862 Enrollment ID: O20040124000258 |
Entity Name | Total Anesthesia Care Stph Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669475190 PECOS PAC ID: 0749255909 Enrollment ID: O20040831000877 |
Entity Name | Aec Physicians, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346574217 PECOS PAC ID: 6305983214 Enrollment ID: O20091027000035 |
Mailing Address | Practice Location Address |
---|---|
Charles E Bloodsworth, CRNA 255 W Michigan Ave, Jackson, MI 49201-2218 Ph: (800) 242-1131 | Charles E Bloodsworth, CRNA 4200 Houma Blvd, Metairie, LA 70006-2970 Ph: (504) 779-5515 |