| Charles Roesel, | |
|
3043 Ne 28th Street, Lincoln City, OR 97367-4518 | |
| (541) 996-7152 | |
| (541) 996-7180 |
| Full Name | Charles Roesel |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3043 Ne 28th Street, Lincoln City, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306208707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 200841321RN (Oregon) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 201603514CRNA (Oregon) | Primary |
| Entity Name | Columbia Lutheran Charities |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1134146939 PECOS PAC ID: 5294643359 Enrollment ID: O20021217000028 |
| Entity Name | Columbia Lutheran Charities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134146939 PECOS PAC ID: 5294643359 Enrollment ID: O20040202000073 |
| Entity Name | Anesthesia Associates Northwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548281751 PECOS PAC ID: 7618908484 Enrollment ID: O20050822001459 |
| Entity Name | Hospitalist Medicine Physicians Of Washington - Tcs |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649816380 PECOS PAC ID: 6800240102 Enrollment ID: O20230920001616 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Roesel, Po Box 1194, Corvallis, OR 97339-1194 Ph: () - | Charles Roesel, 3043 Ne 28th Street, Lincoln City, OR 97367-4518 Ph: (541) 996-7152 |
Mr. Devon D Peterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3043 Ne 28th St, Lincoln City, OR 97367 Phone: 541-994-3661 | |
Paul S. Palmer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3043 Ne 28th St, Lincoln City, OR 97367 Phone: 541-996-7152 Fax: 541-996-7120 | |
Katie Elliott, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3043 Ne 28th St, Lincoln City, OR 97367 Phone: 541-994-3661 |