Mr Lawrence W Carlson Iii, CRNA | |
1050 Delaware Ave, Marion, OH 43302-6416 | |
(740) 383-7778 | |
(740) 375-8174 |
Full Name | Mr Lawrence W Carlson Iii |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 26 Years |
Location | 1050 Delaware Ave, Marion, Ohio |
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 |
---|---|---|---|
1609827401 | NPI | - | NPPES |
2150872 | Medicaid | OH | |
000000205999 | Other | ANTHEM | |
430066223 | Other | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN277926 (Ohio) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | COA.04689-NA (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wyandot Memorial Hospital | Upper sandusky, OH | Hospital |
Avita Ontario | Ontario, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wyandot Memorial Hospital | 1557340189 | 58 |
North Central Ohio Family Care Center Inc | 3274437082 | 176 |
Entity Name | North Central Ohio Family Care Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689822827 PECOS PAC ID: 3274437082 Enrollment ID: O20031124000232 |
Entity Name | Henry County Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407880909 PECOS PAC ID: 0345141644 Enrollment ID: O20040120000128 |
Entity Name | Blanchard Valley Regional Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083665251 PECOS PAC ID: 3971404187 Enrollment ID: O20040120000179 |
Entity Name | Galion Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215907522 PECOS PAC ID: 5496737439 Enrollment ID: O20040603000930 |
Entity Name | Revision Advanced Surgery Center Inc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1881695732 PECOS PAC ID: 1557346780 Enrollment ID: O20040622001018 |
Entity Name | Wyandot Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477554475 PECOS PAC ID: 1557340189 Enrollment ID: O20040716001163 |
Entity Name | East Columbus Surgery Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619114824 PECOS PAC ID: 3870572001 Enrollment ID: O20040720000330 |
Entity Name | Ohio Eye Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427091164 PECOS PAC ID: 9234190745 Enrollment ID: O20041019000709 |
Entity Name | Firelands Anesthesia Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811906340 PECOS PAC ID: 9032143334 Enrollment ID: O20050926001020 |
Entity Name | Bucyrus Community Hospital, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629372461 PECOS PAC ID: 0749460673 Enrollment ID: O20110309000381 |
Entity Name | Marion Area Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619230802 PECOS PAC ID: 1850549437 Enrollment ID: O20120925000053 |
Entity Name | Malabar Anesthesia Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922497940 PECOS PAC ID: 9234440561 Enrollment ID: O20150612001359 |
Mailing Address | Practice Location Address |
---|---|
Mr Lawrence W Carlson Iii, CRNA # L-3652, Columbus, OH 43260-6052 Ph: (740) 383-7927 | Mr Lawrence W Carlson Iii, CRNA 1050 Delaware Ave, Marion, OH 43302-6416 Ph: (740) 383-7778 |
Brittney A. Bracone, APRN.CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1050 Delaware Ave, Marion, OH 43302 Phone: 740-383-7778 | |
Shawn A Barkalow, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1050 Delaware Ave, Marion, OH 43302 Phone: 740-383-7778 | |
Elizabeth A Fraser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1050 Delaware Ave, Marion, OH 43302 Phone: 740-383-7778 | |
Kourtney Jane Snyder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1050 Delaware Ave, Marion, OH 43302 Phone: 740-383-7778 | |
Shanlee Jane Woodward, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1050 Delaware Ave, Marion, OH 43302 Phone: 740-383-7778 | |
Ms. Mary P Clemons, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 Mckinley Park Dr, Marion, OH 43302 Phone: 740-383-8400 | |
Amy L Vaflor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1050 Delaware Ave, Marion, OH 43302 Phone: 740-383-7778 Fax: 740-375-8174 |