Mr Charles Reginald Elam Iv, | |
100 Medical Pkwy, Denison, IA 51442-2607 | |
(712) 265-2683 | |
(712) 265-2682 |
Full Name | Mr Charles Reginald Elam Iv |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 14 Years |
Location | 100 Medical Pkwy, Denison, Iowa |
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 |
---|---|---|---|
1184927634 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | D138067 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St. Mary's Hospital | Tucson, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Partners And Management Llc | 9931429198 | 129 |
Entity Name | Anesthesia Partners & Management Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336530997 PECOS PAC ID: 9931429198 Enrollment ID: O20150529000706 |
Mailing Address | Practice Location Address |
---|---|
Mr Charles Reginald Elam Iv, 100 Medical Pkwy, Denison, IA 51442-2607 Ph: (712) 265-2683 | Mr Charles Reginald Elam Iv, 100 Medical Pkwy, Denison, IA 51442-2607 Ph: (712) 265-2683 |
Paul G. Gartner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2020 1st Ave S, Denison, IA 51442 Phone: 712-263-5021 Fax: 712-263-1600 | |
Julie Dekker Flint, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Pkwy, Denison, IA 51442 Phone: 712-265-2500 | |
Mr. Robert J. Ballard, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2020 1st Ave S, Denison, IA 51442 Phone: 712-263-5021 Fax: 712-263-1600 |