Charles Connor Sorrells, CAA is a medicare enrolled "Anesthesiologist Assistant" in Crawfordsville, Indiana. His current practice location is
1710 Lafayette Rd, Crawfordsville, Indiana. You can reach out to his office (for appointments etc.) via phone at
(317) 528-4800.
Charles Connor Sorrells is licensed to practice in Indiana (license number 75000119A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1508578220.
Provider's Profile
| Full Name | Charles Connor Sorrells |
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| Gender | Male |
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| Speciality | Anesthesiologist Assistant |
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| Location | 1710 Lafayette Rd, Crawfordsville, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508578220
- Provider Enumeration Date: 12/14/2022
- Last Update Date: 10/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 8527433309
- Enrollment ID: I20230410000204
Medical Identifiers
Medical identifiers for Charles Connor Sorrells such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508578220 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367H00000X | Anesthesiologist Assistant | 75000119A (Indiana) | Primary |
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 Connor Sorrells allows following entities to bill medicare on his behalf.
| Entity Name | Glhs Anesthesia Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588673560
PECOS PAC ID: 7719920941
Enrollment ID: O20050608000276 |
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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 Connor Sorrells 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 |
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Charles Connor Sorrells, CAA
Po Box 78838,
Detroit, MI 48278-0838
Ph: (317) 528-4800 | Charles Connor Sorrells, CAA
1710 Lafayette Rd,
Crawfordsville, IN 47933-1033
Ph: (317) 528-4800 |
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