| Charles R Woodruff, CRNA | |
|
111 S 5th St, Douglas, WY 82633-2434 | |
| (307) 359-8667 | |
| Not Available |
| Full Name | Charles R Woodruff |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 23 Years |
| Location | 111 S 5th St, Douglas, Wyoming |
| 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 |
|---|---|---|---|
| 1700956877 | NPI | - | NPPES |
| 08589 | Other | BCBS | |
| 119058000 | Other | WY | WY MCD |
| P00058219 | Other | RR MED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 23694.0835 (Wyoming) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Of Converse County | Douglas, WY | Hospital |
| Summit Medical Center | Casper, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Memorial Hospital Of Converse County | 2264340843 | 55 |
| Entity Name | Memorial Hospital Of Converse County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356496491 PECOS PAC ID: 2264340843 Enrollment ID: O20031203000672 |
| Entity Name | Memorial Hospital Of Converse County |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1326085408 PECOS PAC ID: 2264340843 Enrollment ID: O20070815000252 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles R Woodruff, CRNA 111 South 5th St, Douglas, WY 82633 Ph: (307) 359-8667 | Charles R Woodruff, CRNA 111 S 5th St, Douglas, WY 82633-2434 Ph: (307) 359-8667 |
Mr. Loren B Thiel, MS CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 S 5th St, Douglas, WY 82633 Phone: 307-358-2122 | |
Mr. Troy Eldon Votruba, CRNA, APRN, MS Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 S 5th St, Douglas, WY 82633 Phone: 307-358-2122 | |
Ms. Shauna R Kohler, MS CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 111 S 5th Street, Douglas, WY 82633 Phone: 307-358-2122 |