| Benedict Charlley, CRNA | |
|
1500 S Lake Park Ave, Hobart, IN 46342-6638 | |
| (219) 947-6425 | |
| Not Available |
| Full Name | Benedict Charlley |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 1500 S Lake Park Ave, Hobart, Indiana |
| 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 |
|---|---|---|---|
| 1659567154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28174686A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary Medical Center Inc | Hobart, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeshore Anesthesia Pc | 1951322353 | 24 |
| Entity Name | Lakeshore Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548210560 PECOS PAC ID: 1951322353 Enrollment ID: O20051213000682 |
| Mailing Address | Practice Location Address |
|---|---|
| Benedict Charlley, CRNA 1500 S Lake Park Ave, Hobart, IN 46342-6638 Ph: (219) 947-6425 | Benedict Charlley, CRNA 1500 S Lake Park Ave, Hobart, IN 46342-6638 Ph: (219) 947-6425 |
Steven Burkett, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Lake Park Ave, Hobart, IN 46342 Phone: 219-947-6425 | |
Rodrigo Garcia, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1500 S Lake Park Ave, Hobart, IN 46342 Phone: 219-947-6695 Fax: 219-947-6092 | |
Dr. Chasity Lynn Stahl, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Lake Park Ave, Hobart, IN 46342 Phone: 219-310-5437 | |
Kenneth A Ebert, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1500 S Lake Park Ave, Hobart, IN 46342 Phone: 219-947-6695 Fax: 219-947-6092 | |
Stephanie Dines, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Lake Park Ave, Hobart, IN 46342 Phone: 219-947-6695 Fax: 219-947-6092 |