Charles Ezelle, CRNA in Oxford, MS - Medicare Certified Registered Nurse Anesthetist (crna)

Charles Ezelle, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Oxford, Mississippi. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Willow Anesthesia Services, Llc and his current practice location is 2704 W Oxford Loop, Suite 117, Oxford, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 550-4299.

Charles Ezelle is licensed to practice in Mississippi (license number R880502) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1932576550.

Contact Information

	Charles Ezelle, CRNA
	2704 W Oxford Loop, Suite 117, Oxford, MS 38655-5714
	(662) 550-4299
	(662) 580-4324

Map and Direction

Provider's Profile

Full Name	Charles Ezelle
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	9 Years
Location	2704 W Oxford Loop, Oxford, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charles Ezelle graduated from nursing school in 2015

NPI Data:

NPI Number: 1932576550
Provider Enumeration Date: 08/31/2015
Last Update Date: 08/31/2015

Medicare PECOS Information:

PECOS PAC ID: 0941500029
Enrollment ID: I20151120001650

Medical Identifiers

Medical identifiers for Charles Ezelle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932576550	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R880502 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Mississippi Medical Center- Grenada	Grenada, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Willow Anesthesia Services, Llc	9234279183	27

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 Ezelle allows following entities to bill medicare on his behalf.

Entity Name	Anesthesia Consultants Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750300836 PECOS PAC ID: 4486637881 Enrollment ID: O20040608000711

Entity Name	Willow Anesthesia Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205169521 PECOS PAC ID: 9234279183 Enrollment ID: O20091228000308

Entity Name	Perioperative Services Of Mississippi, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881123123 PECOS PAC ID: 8921365255 Enrollment ID: O20171122000010

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 Ezelle 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 Ezelle, CRNA 2704 W Oxford Loop, Suite 117, Oxford, MS 38655-5714 Ph: (662) 550-4299	Charles Ezelle, CRNA 2704 W Oxford Loop, Suite 117, Oxford, MS 38655-5714 Ph: (662) 550-4299

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Oxford, MS

Clifford Blaylock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 208 Rachelle Dr, Oxford, MS 38655 Phone: 662-281-8700
Julie Y. Fernanadez, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2301 South Lamar Blvd., Oxford, MS 38655 Phone: 662-232-8100 Fax: 334-244-1830
Penneye Holder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1208 Office Park Dr, Oxford, MS 38655 Phone: 662-234-9888
Kevin Bowden, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1100 Belk Blvd, Oxford, MS 38655 Phone: 662-377-4394
Lori Gray, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2704 W Oxford Loop Ste 117, Oxford, MS 38655 Phone: 662-550-4299 Fax: 662-580-4324
Bradley Bailey, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2301 S Lamar Blvd, Oxford, MS 38655 Phone: 662-232-8100
Mrs. Laura Nicole Billingsley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 144 Downing St, Oxford, MS 38655 Phone: 662-501-0119

Charles Ezelle, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Oxford, MS