Charlie K Wilson Jr, CRNA | |
800 Raven Hill Drive, Atchison, KS 66002 | |
(913) 367-2131 | |
(913) 674-2023 |
Full Name | Charlie K Wilson Jr |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 11 Years |
Location | 800 Raven Hill Drive, Atchison, Kansas |
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 |
---|---|---|---|
1649688656 | NPI | - | NPPES |
2014014788 | Other | MO | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 557391 (Kansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Citizens Memorial Hospital | Bolivar, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Citizens Memorial Hospital District | 2769574433 | 27 |
Mercy Clinic Springfield Communities | 7416865845 | 933 |
Entity Name | Mercy Clinic Springfield Communities |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
Entity Name | Citizens Memorial Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558548818 PECOS PAC ID: 2769574433 Enrollment ID: O20070827000044 |
Mailing Address | Practice Location Address |
---|---|
Charlie K Wilson Jr, CRNA 800 Raven Hill Drive, Atchison, KS 66002 Ph: (913) 367-2131 | Charlie K Wilson Jr, CRNA 800 Raven Hill Drive, Atchison, KS 66002 Ph: (913) 367-2131 |
Miss Rebecca Rene' Boust, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Ravenhill Dr, Atchison, KS 66002 Phone: 913-367-5360 Fax: 913-674-2013 | |
Cari Meats, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 Ravenhill Dr, Atchison, KS 66002 Phone: 913-367-2131 | |
Lane Tyler Young, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 Ravenhill Dr, Atchison, KS 66002 Phone: 913-367-2131 | |
Andrew Durbin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 Ravenhill Dr, Atchison, KS 66002 Phone: 913-367-2131 |