Charles E Dalton Jr, CRNA in Tupelo, MS - Medicare Nurse Anesthetist, Certified Registered

Charles E Dalton Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tupelo, Mississippi. His current practice location is 830 South Gloster, Tupelo, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 377-4394.

Charles E Dalton Jr is licensed to practice in Mississippi (license number R860109) 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 1720004914.

Contact Information

	Charles E Dalton Jr, CRNA
	830 South Gloster, Tupelo, MS 38801
	(662) 377-4394
	(662) 377-7045

Map and Direction

Provider's Profile

Full Name	Charles E Dalton Jr
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	830 South Gloster, Tupelo, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720004914
Provider Enumeration Date: 07/14/2006
Last Update Date: 11/16/2010

Medicare PECOS Information:

PECOS PAC ID: 7214928050
Enrollment ID: I20040520001102

Medical Identifiers

Medical identifiers for Charles E Dalton Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720004914	NPI	-	NPPES
009936468	Medicaid	AL
09473296	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R860109 (Mississippi)	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 E Dalton Jr allows following entities to bill medicare on his behalf.

Entity Name	North Mississippi Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972608347 PECOS PAC ID: 9931010600 Enrollment ID: O20040413000541

Entity Name	Tupelo Anesthesia Group, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558390443 PECOS PAC ID: 4587566344 Enrollment ID: O20040508000197

Entity Name	Nurse Anesthesia Providers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275749228 PECOS PAC ID: 6507871837 Enrollment ID: O20060208000283

Entity Name	Trident Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053713123 PECOS PAC ID: 6901028315 Enrollment ID: O20141119000230

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 E Dalton Jr 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
Charles E Dalton Jr, CRNA Po Box 3294, Tupelo, MS 38803-3294 Ph: (662) 377-4394	Charles E Dalton Jr, CRNA 830 South Gloster, Tupelo, MS 38801 Ph: (662) 377-4394

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Tupelo, MS

Lauren Elizabeth Abel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-4394 Fax: 662-377-7045
Sarah Cotton Ashmore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 830 South Gloster, Tupelo, MS 38801 Phone: 662-377-4394 Fax: 662-377-7045
Mr. Bradley W Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-4394 Fax: 662-377-7045
Lauren H. Cook, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 830 S Gloster St, Tupelo, MS 38801 Phone: 662-377-4394 Fax: 662-377-7045
Shannon D Barber, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 830 South Gloster, Tupelo, MS 38801 Phone: 662-377-4394 Fax: 662-377-7045
Jennifer M Little, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 830 South Gloster, Tupelo, MS 38801 Phone: 662-377-4394 Fax: 662-377-7045
Donald R Carter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 830 South Gloster, Tupelo, MS 38801 Phone: 662-377-4394 Fax: 662-377-7045

Charles E Dalton Jr, CRNA - Medicare Nurse Anesthetist, Certified Registered in Tupelo, MS