| Charlie K Wilson Jr, CRNA | |
|
800 Raven Hill Drive, Atchison, KS 66002 | |
| (913) 367-2131 | |
| (913) 674-2023 |
| Full Name | Charlie K Wilson Jr |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 800 Raven Hill Drive, Atchison, Kansas |
| 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 |
|---|---|---|---|
| 1649688656 | NPI | - | NPPES |
| 2014014788 | Other | MO | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 557391 (Kansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Citizens Memorial Hospital | Bolivar, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Citizens Memorial Hospital District | 2769574433 | 33 |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
| Entity Name | Citizens Memorial Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558548818 PECOS PAC ID: 2769574433 Enrollment ID: O20070827000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Charlie K Wilson Jr, CRNA 800 Raven Hill Drive, Atchison, KS 66002 Ph: (913) 367-2131 | Charlie K Wilson Jr, CRNA 800 Raven Hill Drive, Atchison, KS 66002 Ph: (913) 367-2131 |
Miss Rebecca Rene' Boust, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Ravenhill Dr, Atchison, KS 66002 Phone: 913-367-5360 Fax: 913-674-2013 | |
Cari Meats, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Ravenhill Dr, Atchison, KS 66002 Phone: 913-367-2131 | |
Lane Tyler Young, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Ravenhill Dr, Atchison, KS 66002 Phone: 913-367-2131 | |
Andrew Durbin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Ravenhill Dr, Atchison, KS 66002 Phone: 913-367-2131 |