Mr Charles Miguel Serrano, CRNA in Maryville, IL - Medicare Nurse Anesthetist, Certified Registered

Mr Charles Miguel Serrano, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Maryville, Illinois. His current practice location is 6800 Il-162, Maryville, Illinois. You can reach out to his office (for appointments etc.) via phone at (800) 281-3903.

Mr Charles Miguel Serrano is licensed to practice in Illinois (license number 041.494360) 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 1316636186.

Contact Information

	Mr Charles Miguel Serrano, CRNA
	6800 Il-162, Maryville, IL 62062
	(800) 281-3903
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Charles Miguel Serrano
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	6800 Il-162, Maryville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316636186
Provider Enumeration Date: 05/05/2023
Last Update Date: 05/05/2023

Medicare PECOS Information:

PECOS PAC ID: 1153784582
Enrollment ID: I20230831003048

Medical Identifiers

Medical identifiers for Mr Charles Miguel Serrano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316636186	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	041.494360 (Illinois)	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. Mr Charles Miguel Serrano allows following entities to bill medicare on his behalf.

Entity Name	Millennium Anesthesiology Consultants, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710218094 PECOS PAC ID: 9133250475 Enrollment ID: O20100630000117

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. Mr Charles Miguel Serrano 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
Mr Charles Miguel Serrano, CRNA 2621 Spyglass Ct Apt D, Edwardsville, IL 62025-3673 Ph: (435) 237-7040	Mr Charles Miguel Serrano, CRNA 6800 Il-162, Maryville, IL 62062 Ph: (800) 281-3903

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Maryville, IL

Michael Petru, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6810 State Route 162, Suite 215, Maryville, IL 62062 Phone: 618-288-5711
Michael Southwick, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6810 State Route 162, Ste 215, Maryville, IL 62062 Phone: 618-288-5711
Ms. Connie Ann Dumm, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-5711
Dr. Jared T Holton, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 800-281-3903
Joseph Hines, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6810 State Route 162, Ste 215, Maryville, IL 62062 Phone: 618-288-5711
Mark Silvey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6810 State Route 162, Suite 215, Maryville, IL 62062 Phone: 618-288-5711
Sherri Blaha, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6810 State Route 162, Suite 215, Maryville, IL 62062 Phone: 618-288-5711

Mr Charles Miguel Serrano, CRNA - Medicare Nurse Anesthetist, Certified Registered in Maryville, IL