Ms Charlotte Elise Moulton, CRNA in Portland, OR - Medicare Certified Registered Nurse Anesthetist (crna)

Ms Charlotte Elise Moulton, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Portland, Oregon. She graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice East Carolina Anesthesia Associates Pllc and her current practice location is 3181 Sw Sam Jackson Park Rd, Mailcode Uhs-2, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 494-4910.

Ms Charlotte Elise Moulton is licensed to practice in Oregon (license number 200660031CRNA) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417979675.

Contact Information

	Ms Charlotte Elise Moulton, CRNA
	3181 Sw Sam Jackson Park Rd, Mailcode Uhs-2, Portland, OR 97239-3098
	(503) 494-4910
	(503) 494-8368

Map and Direction

Provider's Profile

Full Name	Ms Charlotte Elise Moulton
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	18 Years
Location	3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Charlotte Elise Moulton graduated from nursing school in 2006

NPI Data:

NPI Number: 1417979675
Provider Enumeration Date: 07/24/2006
Last Update Date: 10/28/2020

Medicare PECOS Information:

PECOS PAC ID: 5991808438
Enrollment ID: I20170306001782

Medical Identifiers

Medical identifiers for Ms Charlotte Elise Moulton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417979675	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	200660031CRNA (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
East Carolina Anesthesia Associates Pllc	5092720813	473

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. Ms Charlotte Elise Moulton allows following entities to bill medicare on her behalf.

Entity Name	East Carolina Anesthesia Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205996519 PECOS PAC ID: 5092720813 Enrollment ID: O20060215000791

Entity Name	Nmg Southpark Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952690109 PECOS PAC ID: 6901075977 Enrollment ID: O20110808000705

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. Ms Charlotte Elise Moulton 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
Ms Charlotte Elise Moulton, CRNA 8837 Se Taylor St, Portland, OR 97216-1738 Ph: (954) 655-2574	Ms Charlotte Elise Moulton, CRNA 3181 Sw Sam Jackson Park Rd, Mailcode Uhs-2, Portland, OR 97239-3098 Ph: (503) 494-4910

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Portland, OR

Mr. Daniel Paul Addy, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-1234
Ms. Bonnie Helen O'hara, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Providence St. Vincent Medical Center, 9205 Sw Barnes Rd, Portland, OR 97225 Phone: 503-216-3321
Amber Fromwiller, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8311
Ms. Gwendolyn M Keyt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Mailcode Uhs-2, Portland, OR 97239 Phone: 503-494-7641 Fax: 503-418-0884
Daniel Hainley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7641 Fax: 503-494-4661
Dr. Dallas D. Regan, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7641
Stephen John Yermal, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1111 Ne 99th Ave, Suite 302, Portland, OR 97220 Phone: 503-963-2763

Ms Charlotte Elise Moulton, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Portland, OR