Charles W Dinwiddie, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Shelbyville, Tennessee. He graduated from nursing school in 1976 and has 48 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Mid State Endo Uap Llc and his current practice location is
2835 Highway 231 N, Shelbyville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(931) 685-5433.
Charles W Dinwiddie is licensed to practice in Tennessee (license number APN8781) 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 1497831242.
Provider's Profile
| Full Name | Charles W Dinwiddie |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 48 Years |
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| Location | 2835 Highway 231 N, Shelbyville, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Charles W Dinwiddie graduated from nursing school in 1976
NPI Data:
- NPI Number: 1497831242
- Provider Enumeration Date: 10/27/2006
- Last Update Date: 05/13/2010
Medicare PECOS Information:
- PECOS PAC ID: 1355247560
- Enrollment ID: I20031212000103
Medical Identifiers
Medical identifiers for Charles W Dinwiddie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497831242 | NPI | - | NPPES |
| 01070162 | Other | TN | AMERIGROUP TENNCARE ONLY |
| 3634941 | Medicaid | TN | |
| P00136014 | Other | TN | RR MEDICARE |
| 4070725 | Other | TN | BC/BS OF TN - NETWORKS P, S, BLUESELECT, BLUECARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | APN8781 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mid State Endo Uap Llc | 3577787431 | 3 |
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 W Dinwiddie allows following entities to bill medicare on his behalf.
| Entity Name | Maury Regional Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861479545
PECOS PAC ID: 4688569718
Enrollment ID: O20040330001709 |
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| Entity Name | Physynergy Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124455969
PECOS PAC ID: 6204081292
Enrollment ID: O20131127000891 |
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| Entity Name | Mid State Endo Uap Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710309265
PECOS PAC ID: 3577787431
Enrollment ID: O20140616000835 |
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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 W Dinwiddie 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 |
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Charles W Dinwiddie, CRNA
Po Box 440352,
Nashville, TN 37244-0352
Ph: (615) 620-2320 | Charles W Dinwiddie, CRNA
2835 Highway 231 N,
Shelbyville, TN 37160-7327
Ph: (931) 685-5433 |
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