Mr Charles Harrison Hawthorne, CRNA in Oklahoma City, OK - Medicare Nurse Anesthetist, Certified Registered

Mr Charles Harrison Hawthorne, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Oklahoma City, Oklahoma. His current practice location is 920 Stanton L Young Blvd # Wp1140, Oklahoma City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 271-4351.

Mr Charles Harrison Hawthorne is licensed to practice in Oklahoma (license number 205234) 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 1407926249.

Contact Information

	Mr Charles Harrison Hawthorne, CRNA
	920 Stanton L Young Blvd # Wp1140, Oklahoma City, OK 73104-5036
	(405) 271-4351
	(405) 271-8695

Map and Direction

Provider's Profile

Full Name	Mr Charles Harrison Hawthorne
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	920 Stanton L Young Blvd # Wp1140, Oklahoma City, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407926249
Provider Enumeration Date: 11/09/2006
Last Update Date: 12/04/2021

Medicare PECOS Information:

PECOS PAC ID: 8921994229
Enrollment ID: I20040224000873

Medical Identifiers

Medical identifiers for Mr Charles Harrison Hawthorne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407926249	NPI	-	NPPES
1569739	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	068184 (Louisiana)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	205234 (Oklahoma)	Primary

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 Charles Harrison Hawthorne allows following entities to bill medicare on his behalf.

Entity Name	Physicians Medical Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477509859 PECOS PAC ID: 2062308364 Enrollment ID: O20040224000911

Entity Name	Youngs Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20070226000608

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 Charles Harrison Hawthorne 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 Charles Harrison Hawthorne, CRNA Po Box 26901, Oklahoma City, OK 73126-0901 Ph: (405) 271-4351	Mr Charles Harrison Hawthorne, CRNA 920 Stanton L Young Blvd # Wp1140, Oklahoma City, OK 73104-5036 Ph: (405) 271-4351

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Oklahoma City, OK

Traci Renee Wilmarth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9713 Lakecrest Dr, Oklahoma City, OK 73159 Phone: 405-213-5351
Paul Jason Bradley, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Stanton L Young Blvd # Wp1140, Oklahoma City, OK 73104 Phone: 405-271-4351 Fax: 405-271-8695
Michael Sean O'dell, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5501 N Portland Ave, Oklahoma City, OK 73112 Phone: 405-604-6000
Mr. Darryl W. Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1044 Sw 44th St, Oklahoma City, OK 73109 Phone: 405-431-9921
Ivan Kozhulenko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Stanton L Young Blvd Ste Wp1140, Oklahoma City, OK 73104 Phone: 405-271-4351 Fax: 405-271-8695
Robert Lee Rawls, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9600 Broadway Ext, Oklahoma City, OK 73114 Phone: 405-715-3610 Fax: 405-715-3612
Jennifer A Thai, APRN - CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5501 N Portland Ave, Oklahoma City, OK 73112 Phone: 405-604-6000

Mr Charles Harrison Hawthorne, CRNA - Medicare Nurse Anesthetist, Certified Registered in Oklahoma City, OK