| Charlotte Chapple, CRNA | |
|
1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603-6940 | |
| (870) 535-7457 | |
| (870) 535-2522 |
| Full Name | Charlotte Chapple |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 1801 W 40th Ave, Pine Bluff, Arkansas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659387769 | NPI | - | NPPES |
| 5Y973 | Other | AR | BCBS |
| P00333566 | Other | RR MCR | |
| 162083001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | C02621 (Arkansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Middle Arkansas Sedation Associates, Pllc | 4486068988 | 8 |
| Entity Name | Arkansas Health Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508800962 PECOS PAC ID: 7911802079 Enrollment ID: O20040331000754 |
| Entity Name | St Vincent Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134176480 PECOS PAC ID: 5698758803 Enrollment ID: O20040622000224 |
| Entity Name | Bradley County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194843730 PECOS PAC ID: 2961316112 Enrollment ID: O20080915000377 |
| Entity Name | Arkansas Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497023360 PECOS PAC ID: 6406023142 Enrollment ID: O20120119000835 |
| Entity Name | Southern Regional Anesthesiology Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902231673 PECOS PAC ID: 2961633870 Enrollment ID: O20140318000757 |
| Entity Name | Premier Anesthesia Of Arkansas Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932519485 PECOS PAC ID: 6406077460 Enrollment ID: O20141016002060 |
| Entity Name | Arkansas Surgical Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417439944 PECOS PAC ID: 5496793390 Enrollment ID: O20181017000632 |
| Entity Name | Central Arkansas Gastroenterology Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639678022 PECOS PAC ID: 0840532214 Enrollment ID: O20190506000083 |
| Entity Name | Middle Arkansas Sedation Associates, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447849633 PECOS PAC ID: 4486068988 Enrollment ID: O20210125001069 |
| Entity Name | Arkansas Surgical Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1265192835 PECOS PAC ID: 5496793390 Enrollment ID: O20220628002353 |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte Chapple, CRNA Po Box 1272, Pine Bluff, AR 71613-1272 Ph: (870) 535-7457 | Charlotte Chapple, CRNA 1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603-6940 Ph: (870) 535-7457 |
Gary W Manly, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 | |
Jonathan M Loetscher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 W 40th Ave, Suite 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 | |
Jason Bobo, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3302 Shamrock Dr, Pine Bluff, AR 71603 Phone: 870-489-4864 | |
Kolton Layne Hooks, DNP, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1600 W 40th Ave, Pine Bluff, AR 71603 Phone: 870-541-7100 | |
Jon C Valentine, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 | |
Walter P Theriot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 | |
James C Rassier, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1801 W 40th Ave, Ste 2b, Pine Bluff, AR 71603 Phone: 870-535-7457 Fax: 870-535-2522 |