Charles R Woodruff, CRNA | |
111 S 5th St, Douglas, WY 82633-2434 | |
(307) 359-8667 | |
Not Available |
Full Name | Charles R Woodruff |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 21 Years |
Location | 111 S 5th St, Douglas, Wyoming |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700956877 | NPI | - | NPPES |
08589 | Other | BCBS | |
119058000 | Other | WY | WY MCD |
P00058219 | Other | RR MED |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 23694.0835 (Wyoming) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Summit Medical Center | Casper, WY | Hospital |
Memorial Hospital Of Converse County | Douglas, WY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memorial Hospital Of Converse County | 2264340843 | 60 |
Entity Name | Memorial Hospital Of Converse County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356496491 PECOS PAC ID: 2264340843 Enrollment ID: O20031203000672 |
Entity Name | Memorial Hospital Of Converse County |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1326085408 PECOS PAC ID: 2264340843 Enrollment ID: O20070815000252 |
Mailing Address | Practice Location Address |
---|---|
Charles R Woodruff, CRNA 111 South 5th St, Douglas, WY 82633 Ph: (307) 359-8667 | Charles R Woodruff, CRNA 111 S 5th St, Douglas, WY 82633-2434 Ph: (307) 359-8667 |
Mr. Loren B Thiel, MS CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 S 5th St, Douglas, WY 82633 Phone: 307-358-2122 | |
Mr. Troy Eldon Votruba, CRNA, APRN, MS Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 S 5th St, Douglas, WY 82633 Phone: 307-358-2122 | |
Ms. Shauna R Kohler, MS CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 S 5th Street, Douglas, WY 82633 Phone: 307-358-2122 |