Charles Rutter, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Daphne, Alabama. His current practice location is
24852 Bridges Dr W, Daphne, Alabama. You can reach out to his office (for appointments etc.) via phone at
(251) 626-5435.
Charles Rutter is licensed to practice in Alabama (license number 1-022882) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700992542.
Provider's Profile
| Full Name | Charles Rutter |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Anesthetist, Certified Registered |
|---|
| Location | 24852 Bridges Dr W, Daphne, Alabama |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1700992542
- Provider Enumeration Date: 08/22/2006
- Last Update Date: 02/16/2010
Medicare PECOS Information:
- PECOS PAC ID: 9335242155
- Enrollment ID: I20070316000057
Medical Identifiers
Medical identifiers for Charles Rutter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700992542 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209-003553 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1-022882 (Alabama) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2314A (Kentucky) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 059367 (Missouri) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charles Rutter allows following entities to bill medicare on his behalf.
| Entity Name | Central Illinois Associates Ltd |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1558425462
PECOS PAC ID: 7012944648
Enrollment ID: O20050726000342 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Rutter is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Charles Rutter, CRNA
24852 Bridges Dr W,
Daphne, AL 36526-8200
Ph: (251) 626-5435 | Charles Rutter, CRNA
24852 Bridges Dr W,
Daphne, AL 36526-8200
Ph: (251) 626-5435 |
Reviews and Comments