Mr Charlie S Blalock, CRNA in Fort Worth, TX - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Charlie S Blalock, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Worth, Texas. He graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Mother Frances Hospital Regional Health Care Center and his current practice location is 4916 Overton Plz, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (800) 480-1819.

Mr Charlie S Blalock is licensed to practice in Texas (license number 668515) 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 1861530156.

Contact Information

	Mr Charlie S Blalock, CRNA
	4916 Overton Plz, Fort Worth, TX 76109-4415
	(800) 480-1819
	(817) 334-0235

Map and Direction

Provider's Profile

Full Name	Mr Charlie S Blalock
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	18 Years
Location	4916 Overton Plz, Fort Worth, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Charlie S Blalock graduated from nursing school in 2006

NPI Data:

NPI Number: 1861530156
Provider Enumeration Date: 02/01/2007
Last Update Date: 02/05/2009

Medicare PECOS Information:

PECOS PAC ID: 6709985690
Enrollment ID: I20070618000282

Medical Identifiers

Medical identifiers for Mr Charlie S Blalock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861530156	NPI	-	NPPES
PENDING	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	668515 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus Mother Frances Hospital	Tyler, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mother Frances Hospital Regional Health Care Center	9234025636	119

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 Charlie S Blalock allows following entities to bill medicare on his behalf.

Entity Name	Mother Frances Hospital Regional Health Care Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042

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 Charlie S Blalock 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 Charlie S Blalock, CRNA Po Box 50667, Amarillo, TX 79159-0667 Ph: (800) 480-1819	Mr Charlie S Blalock, CRNA 4916 Overton Plz, Fort Worth, TX 76109-4415 Ph: (800) 480-1819

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Worth, TX

Mr. John Paul Schreiner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4200 S Hulen St Ste 425, Fort Worth, TX 76109 Phone: 817-731-2875
Allyson Evans, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 801-792-5267
Terri D. Kane, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4916 Overton Plz, Fort Worth, TX 76109 Phone: 888-804-3000 Fax: 817-334-0235
Dr. Shaquitta Nicole Bell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 817-702-3431
Ms. Patricia L. Gillum, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1301 Pennsylvania Ave, Fort Worth, TX 76104 Phone: 817-882-3680 Fax: 817-878-5135
Erin Lenora Schwarz, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 817-926-2544
Anthony Casey Randolph, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Main St, Fort Worth, TX 76104 Phone: 817-920-6864

Mr Charlie S Blalock, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fort Worth, TX