Charles Richard Roberts Iii, CRNA | |
1805 27th St, Portsmouth, OH 45662-2640 | |
(740) 356-8231 | |
(740) 356-3686 |
Full Name | Charles Richard Roberts Iii |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 4 Years |
Location | 1805 27th St, Portsmouth, Ohio |
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 |
---|---|---|---|
1386262251 | NPI | - | NPPES |
0409464 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | CRNA.0020119 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southern Ohio Medical Center | Portsmouth, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Somc Medical Care Foundation, Inc. | 9436061645 | 234 |
Entity Name | Somc Medical Care Foundation, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457467227 PECOS PAC ID: 9436061645 Enrollment ID: O20031125000203 |
Mailing Address | Practice Location Address |
---|---|
Charles Richard Roberts Iii, CRNA 1735 27th St Ste B06, Portsmouth, OH 45662-2681 Ph: (740) 356-8681 | Charles Richard Roberts Iii, CRNA 1805 27th St, Portsmouth, OH 45662-2640 Ph: (740) 356-8231 |
Lisa A. Smith, CRNA,DMPNA,APRN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-8681 Fax: 740-353-7900 | |
Vickie Jean Camilli, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-8231 Fax: 740-356-3686 | |
Christopher R. Scott, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-8231 Fax: 740-356-3686 | |
Mr. David Taylor Newman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-8231 | |
Catherine Ann Price, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-8231 Fax: 740-356-3686 | |
Tiffany Ann Kiley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1805 27th St, Portsmouth, OH 45662 Phone: 740-356-8231 Fax: 740-356-3686 |