Charles R Hayes, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jellico, Tennessee. His current practice location is
188 Hospital Ln, Jellico, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(800) 944-7252.
Charles R Hayes is licensed to practice in Tennessee (license number APN11012) 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 1790856102.
Provider's Profile
Full Name | Charles R Hayes |
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Gender | Male |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 188 Hospital Ln, Jellico, Tennessee |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790856102
- Provider Enumeration Date: 11/10/2006
- Last Update Date: 07/12/2018
Medicare PECOS Information:
- PECOS PAC ID: 0840260220
- Enrollment ID: I20040731000241
Medical Identifiers
Medical identifiers for Charles R Hayes such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790856102 | NPI | - | NPPES |
4113350 | Other | TN | IND BC NUMBER |
74011008 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | APN11012 (Tennessee) | 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 R Hayes allows following entities to bill medicare on his behalf.
Entity Name | Sweetwater Hospital Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629077532 PECOS PAC ID: 6608773775 Enrollment ID: O20040518001141 |
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Entity Name | American Anesthesiology Of Tennessee Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364 |
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Entity Name | Sweet Dreams Anesthesia Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508133497 PECOS PAC ID: 0042477705 Enrollment ID: O20120208000105 |
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Entity Name | Sda Consultants Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1336605500 PECOS PAC ID: 3870825912 Enrollment ID: O20220421002076 |
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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 R Hayes 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 R Hayes, CRNA Po Box 601570, Charlotte, NC 28260-1570 Ph: (615) 620-2321 | Charles R Hayes, CRNA 188 Hospital Ln, Jellico, TN 37762 Ph: (800) 944-7252 |
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