Charles Melvin Banks Iii, CRNA | |
1800 N California St, Stockton, CA 95204-6019 | |
(209) 943-2000 | |
Not Available |
Full Name | Charles Melvin Banks Iii |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1800 N California St, Stockton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225814205 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 95002204 (California) | Primary |
163W00000X | Registered Nurse | 95327889 (California) | Secondary |
Entity Name | Advanced Anesthesia Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720543762 PECOS PAC ID: 4880936145 Enrollment ID: O20190507001500 |
Entity Name | Valley Regional Anesthesia Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578272415 PECOS PAC ID: 3870964323 Enrollment ID: O20230120001928 |
Mailing Address | Practice Location Address |
---|---|
Charles Melvin Banks Iii, CRNA 4030 E Morada Ln Apt 2101, Stockton, CA 95212-1638 Ph: (706) 536-7727 | Charles Melvin Banks Iii, CRNA 1800 N California St, Stockton, CA 95204-6019 Ph: (209) 943-2000 |
Grant David Kephart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: St. Joseph's Medical Center, 1800 N. California St., Stockton, CA 95204 Phone: 209-943-2000 | |
Dr. Dorothy Wanjeru Mbondo, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-662-4749 | |
Khang Do, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-416-6316 | |
Marjorie M Danis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1805 N California St, Suite 101a, Stockton, CA 95204 Phone: 209-948-5515 Fax: 209-948-9321 | |
Navjot Sanghera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-943-2000 | |
Carla S Rosenblum, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-467-6556 |