Charly Samantha Wylie, CRNA in Florence, AL - Medicare Certified Registered Nurse Anesthetist (crna)

Charly Samantha Wylie, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Florence, Alabama. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice University Of Kentucky, University Of Louisville Physicians Inc and her current practice location is 205 Marengo St, Florence, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 768-9191.

Charly Samantha Wylie is licensed to practice in Texas (license number 1018723) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1427566678.

Contact Information

	Charly Samantha Wylie, CRNA
	205 Marengo St, Florence, AL 35630-6033
	(256) 768-9191
	(256) 768-9775

Map and Direction

Provider's Profile

Full Name	Charly Samantha Wylie
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	8 Years
Location	205 Marengo St, Florence, Alabama
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charly Samantha Wylie graduated from nursing school in 2017

NPI Data:

NPI Number: 1427566678
Provider Enumeration Date: 01/22/2018
Last Update Date: 02/19/2025

Medicare PECOS Information:

PECOS PAC ID: 2062767502
Enrollment ID: I20231120001876

Medical Identifiers

Medical identifiers for Charly Samantha Wylie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427566678	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4007302 (Kentucky)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	1-113371 (Alabama)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	1018723 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of Kentucky Hospital	Lexington, KY	Hospital
Jewish Hospital & St Mary's Healthcare	Louisville, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Kentucky	3072425289	681
University Of Louisville Physicians Inc	3476725599	1264

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. Charly Samantha Wylie allows following entities to bill medicare on her behalf.

Entity Name	University Of Kentucky
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770771974 PECOS PAC ID: 3072425289 Enrollment ID: O20031105000072

Entity Name	University Of Louisville Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036

Entity Name	Anesthesia Group Practice Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417951948 PECOS PAC ID: 1254245137 Enrollment ID: O20151204001398

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. Charly Samantha Wylie 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
Charly Samantha Wylie, CRNA Po Box 1198, Abilene, TX 79604-1198 Ph: (325) 670-4220	Charly Samantha Wylie, CRNA 205 Marengo St, Florence, AL 35630-6033 Ph: (256) 768-9191

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Florence, AL

Jared Gregg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 205 Marengo St, Florence, AL 35630 Phone: 256-768-9191 Fax: 256-768-9775
Laura Avelyn Horton, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 205 Marengo St, Florence, AL 35630 Phone: 256-768-9191 Fax: 256-768-9775
Matthew Johnson, Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1701 Veterans Dr, Florence, AL 35630 Phone: 256-768-8323
Mr. Ryan Todd Wells Vii, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 205 Marengo St, Florence, AL 35630 Phone: 256-768-9191 Fax: 256-768-9775
Mr. Gary Shawn Puryear, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 205 Marengo St, Florence, AL 35630 Phone: 256-768-9191 Fax: 256-768-9775
Regina Romine Painter, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 205 Marengo St, Florence, AL 35630 Phone: 256-768-9191 Fax: 256-768-9775
Stella Donna Powell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 205 Marengo St, Florence, AL 35630 Phone: 256-768-9191 Fax: 256-768-9775

Charly Samantha Wylie, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Florence, AL