Charles Grant, CRNA in Mattoon, IL - Medicare Nurse Anesthetist, Certified Registered

Charles Grant, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mattoon, Illinois. His current practice location is 1000 Health Center Dr, Mattoon, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 258-2525.

Charles Grant is licensed to practice in Wyoming (license number 42034.1850) 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 1194273540.

Contact Information

	Charles Grant, CRNA
	1000 Health Center Dr, Mattoon, IL 61938-9261
	(217) 258-2525
	(217) 258-4175

Map and Direction

Provider's Profile

Full Name	Charles Grant
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1000 Health Center Dr, Mattoon, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194273540
Provider Enumeration Date: 09/14/2016
Last Update Date: 01/29/2019

Medicare PECOS Information:

PECOS PAC ID: 0143501692
Enrollment ID: I20190327000713

Medical Identifiers

Medical identifiers for Charles Grant such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194273540	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	28240666A (Indiana)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	42034.1850 (Wyoming)	Primary
367500000X	Nurse Anesthetist, Certified Registered	209-014807 (Illinois)	Secondary

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. Charles Grant allows following entities to bill medicare on his behalf.

Entity Name	Memorial Hospital Of Carbon County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508900341 PECOS PAC ID: 9638067176 Enrollment ID: O20040308000403

Entity Name	Memorial Hospital Of Carbon County
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1710298757 PECOS PAC ID: 9638067176 Enrollment ID: O20100527000702

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. Charles Grant 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
Charles Grant, CRNA 2221 Elm St, Rawlins, WY 82301-5108 Ph: (307) 324-2221	Charles Grant, CRNA 1000 Health Center Dr, Mattoon, IL 61938-9261 Ph: (217) 258-2525

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Mattoon, IL

Vincent P Cagungun, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-4006
Erin M. Hein, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2440 Fax: 217-258-2186
Tara L Crews, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2440
Allyson Anderson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1005 Health Center Dr Ste 201, Mattoon, IL 61938 Phone: 217-258-2440 Fax: 217-258-2186
Nicholas Halford, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2440 Fax: 217-258-2186
Ms. Mallory Michelle Light, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2440 Fax: 217-258-2186
Marshall Ashby, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Health Center Dr, Mattoon, IL 61938 Phone: 217-258-2440

Charles Grant, CRNA - Medicare Nurse Anesthetist, Certified Registered in Mattoon, IL