| Charles Aswell, CRNA | |
|
800 E Dawson St, Tyler, TX 75701-2036 | |
| (903) 606-4522 | |
| (865) 541-2787 |
| Full Name | Charles Aswell |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 800 E Dawson St, Tyler, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861433609 | NPI | - | NPPES |
| P00285225 | Other | TN | MEDICARE TRAVELERS |
| P01938569 | Other | TX | MEDICARE RAIL ROAD |
| 3636288 | Medicaid | TN | |
| 4121475 | Other | TN | BLUECARE |
| 616376YQ8A | Other | TX | MEDICARE |
| 723877 | Other | TX | MEDICARE |
| 75-0818167-015 | Other | TX | TRICARE |
| 379954603 | Medicaid | TX | |
| 4121475 | Other | TN | BLUE CROSS |
| P02136788 | Other | TX | MEDICARE RAIL ROAD |
| 379954601 | Medicaid | TX | |
| 8HB331 | Other | TX | BCBS |
| 100050404 | Other | TN | PHP TENNCARE |
| 8JN057 | Other | TX | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 11871 (Tennessee) | Primary |
| Entity Name | Christus Trinity Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
| Entity Name | Mother Frances Hospital Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092 |
| Entity Name | Mother Frances Hospital Regional Health Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042 |
| Entity Name | Novamed Surgery Center Of Tyler, Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902898323 PECOS PAC ID: 9537253414 Enrollment ID: O20080320000205 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Aswell, CRNA Po Box 841656, Dallas, TX 75284-1656 Ph: (903) 531-5000 | Charles Aswell, CRNA 800 E Dawson St, Tyler, TX 75701-2036 Ph: (903) 606-4522 |
Mrs. Glenda R Sealey, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1424 East Front, Tyler, TX 75702 Phone: 903-595-4144 Fax: 903-596-7541 | |
John Glynn Jeansonne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-526-1068 Fax: 903-593-4290 | |
Jeffrey Manglicmot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-531-4522 | |
Harold Richie Bandalan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-526-1068 Fax: 903-593-4290 | |
Jeffrey David Barker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 S Beckham Ave, Tyler, TX 75701 Phone: 903-597-0351 | |
Gregory Mallett, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-606-4522 | |
Cara L Dewolfe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-593-8441 |