| Charles Connor Sorrells, CAA | |
|
1710 Lafayette Rd, Crawfordsville, IN 47933-1033 | |
| (317) 528-4800 | |
| (317) 865-1479 |
| Full Name | Charles Connor Sorrells |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 4 Years |
| Location | 1710 Lafayette Rd, Crawfordsville, 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 |
|---|---|---|---|
| 1508578220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 75000119A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health Arnett Hospital | Lafayette, IN | Hospital |
| Franciscan Health Lafayette | Lafayette, IN | Hospital |
| Indiana University Health | Indianapolis, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iu Health Medical Group Llc | 9638617913 | 4320 |
| Glhs Anesthesia Group | 7719920941 | 23 |
| Entity Name | Glhs Anesthesia Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588673560 PECOS PAC ID: 7719920941 Enrollment ID: O20050608000276 |
| Entity Name | Iu Health Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326893777 PECOS PAC ID: 9638617913 Enrollment ID: O20240817000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Connor Sorrells, CAA 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Charles Connor Sorrells, CAA 1710 Lafayette Rd, Crawfordsville, IN 47933-1033 Ph: (317) 528-4800 |
Caitlyn Brooke Sorrells, CAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 1710 Lafayette Rd, Crawfordsville, IN 47933 Phone: 765-362-2800 Fax: 765-364-8717 |