| Craig A Charleston, MD | |
|
6025 Metropolitan Dr Ste 290, Beaumont, TX 77706-2409 | |
| (409) 554-0545 | |
| (409) 554-0921 |
| Full Name | Craig A Charleston |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 25 Years |
| Location | 6025 Metropolitan Dr Ste 290, Beaumont, Texas |
| 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 |
|---|---|---|---|
| 1952386435 | NPI | - | NPPES |
| 175366701 | Medicaid | TX | |
| 8S9650 | Other | TX | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | L9653 (Texas) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | L9653 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riceland Medical Center | Winnie, TX | Hospital |
| The Medical Center Of Southeast Texas | Port arthur, TX | Hospital |
| Christus Southeast Texas- St Elizabeth | Beaumont, TX | Hospital |
| Christus Jasper Memorial Hospital | Jasper, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Golden Triangle Interventional Pain Associates Llc | 2860778354 | 3 |
| Winnie Community Hospital Llc | 3375440894 | 21 |
| Entity Name | Winnie Community Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316623481 PECOS PAC ID: 3375440894 Enrollment ID: O20031218000349 |
| Entity Name | Golden Triangle Interventional Pain Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386186369 PECOS PAC ID: 2860778354 Enrollment ID: O20170418001080 |
| Entity Name | Vein And Artery Interventional Alliance Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184479008 PECOS PAC ID: 3678913415 Enrollment ID: O20240426002978 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig A Charleston, MD 6025 Metropolitan Dr Ste 290, Beaumont, TX 77706-2409 Ph: (409) 554-0545 | Craig A Charleston, MD 6025 Metropolitan Dr Ste 290, Beaumont, TX 77706-2409 Ph: (409) 554-0545 |