Mr Charles Goshen, CRNA | |
1101 W Liberty St, Farmington, MO 63640-1921 | |
(573) 756-6751 | |
Not Available |
Full Name | Mr Charles Goshen |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 28 Years |
Location | 1101 W Liberty St, Farmington, Missouri |
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 |
---|---|---|---|
1750593927 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 110789 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Parkland Health Center | Farmington, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Midwest Anesthesia Providers Sc | 9830480581 | 143 |
Entity Name | Southeast Missouri Hospital Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775 |
Entity Name | Auburn Surgery Center Inc. |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1265431670 PECOS PAC ID: 2961567854 Enrollment ID: O20090209000625 |
Entity Name | Southeast Missouri Anesthesia Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649618547 PECOS PAC ID: 6204064736 Enrollment ID: O20140108001115 |
Entity Name | Midwest Anesthesia Providers Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295189082 PECOS PAC ID: 9830480581 Enrollment ID: O20160712001846 |
Entity Name | Asc Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740873033 PECOS PAC ID: 4789099896 Enrollment ID: O20210224000314 |
Mailing Address | Practice Location Address |
---|---|
Mr Charles Goshen, CRNA 1134 Trailridge Dr, Jackson, MO 63755-3507 Ph: (735) 429-2251 | Mr Charles Goshen, CRNA 1101 W Liberty St, Farmington, MO 63640-1921 Ph: (573) 756-6751 |
Richard C Dore', RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1212 Weber Rd, Farmington, MO 63640 Phone: 573-756-4581 | |
Barbara J Anderson, RN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1212 Weber Rd, Farmington, MO 63640 Phone: 573-756-4581 | |
Mr. Gregory Brent Reed, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 W Liberty St, Farmington, MO 63640 Phone: 573-760-8025 Fax: 573-760-8006 | |
Jeffrey W Coleman, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1101 W Liberty St, Farmington, MO 63640 Phone: 573-756-6451 | |
James A Smith, RN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 400 Parkland Dr, Farmington, MO 63640 Phone: 573-756-8000 Fax: 573-756-8288 | |
Thomas D Wills Iii, C.R.N.A Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1101 W Liberty St, Farmington, MO 63640 Phone: 573-756-6451 |