| Charles Welch, CRNA | |
|
54 Hospital Dr, Osage Beach, MO 65065-3050 | |
| (573) 302-1661 | |
| (573) 302-1719 |
| Full Name | Charles Welch |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 54 Hospital Dr, Osage Beach, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851339576 | NPI | - | NPPES |
| 100787260A | Medicaid | OK | |
| 430027961 | Other | RR MEDICARE | |
| 912689502 | Medicaid | MO | |
| 100246940B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 083022 (Missouri) | Primary |
| Entity Name | Lake Ozark Anesthesia & Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184719049 PECOS PAC ID: 6305806530 Enrollment ID: O20041013000075 |
| Entity Name | Northstar Anesthesia Of Missouri Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396191789 PECOS PAC ID: 4082908249 Enrollment ID: O20160810001928 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Welch, CRNA Po Box 840, Osage Beach, MO 65065-0840 Ph: (573) 302-1661 | Charles Welch, CRNA 54 Hospital Dr, Osage Beach, MO 65065-3050 Ph: (573) 302-1661 |
Mr. Aubrey Folsom Moncrief, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5470 Stone Ledge Cir, Osage Beach, MO 65065 Phone: 573-302-0836 Fax: 573-302-0863 | |
Adam M Boone, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-348-8000 Fax: 573-348-8325 | |
Mr. Glenn W Mclendon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-1661 Fax: 573-302-1719 | |
Nicholas Lyons, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Drvie, Osage Beach, MO 65065 Phone: 573-302-1661 | |
Darla Lasters Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-348-8000 | |
Paul Joseph Imperato, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-1661 | |
Kenneth R. Leimkuehler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 54 Hospital Dr, Osage Beach, MO 65065 Phone: 573-302-1661 |