Dr Ednita Charzette Street Fountain, DNP, CRNA in Terre Haute, IN - Medicare Certified Registered Nurse Anesthetist (crna)

Dr Ednita Charzette Street Fountain, DNP, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Terre Haute, Indiana. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Iceland Anesthesia Management Llc and her current practice location is 1421 N 7th St, Terre Haute, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 231-4608.

Dr Ednita Charzette Street Fountain is licensed to practice in Mississippi (license number 901702) 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 1578141024.

Contact Information

	Dr Ednita Charzette Street Fountain, DNP, CRNA
	1421 N 7th St, Terre Haute, IN 47807-1005
	(812) 231-4608
	(812) 231-4675

Map and Direction

Provider's Profile

Full Name	Dr Ednita Charzette Street Fountain
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	4 Years
Location	1421 N 7th St, Terre Haute, Indiana
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:

Dr Ednita Charzette Street Fountain graduated from nursing school in 2020

NPI Data:

NPI Number: 1578141024
Provider Enumeration Date: 03/29/2021
Last Update Date: 06/16/2021

Medicare PECOS Information:

PECOS PAC ID: 3274936240
Enrollment ID: I20210728002187

Medical Identifiers

Medical identifiers for Dr Ednita Charzette Street Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578141024	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	889173 (Mississippi)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	901702 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Union Hospital Inc	Terre haute, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Iceland Anesthesia Management Llc	7618372996	53

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. Dr Ednita Charzette Street Fountain allows following entities to bill medicare on her behalf.

Entity Name	Unified Anesthesia Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093192882 PECOS PAC ID: 8628376068 Enrollment ID: O20160418001990

Entity Name	Iceland Anesthesia Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912578667 PECOS PAC ID: 7618372996 Enrollment ID: O20210825000860

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. Dr Ednita Charzette Street Fountain 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
Dr Ednita Charzette Street Fountain, DNP, CRNA 3157 Basin Refuge Rd, Lucedale, MS 39452-7688 Ph: (601) 947-0366	Dr Ednita Charzette Street Fountain, DNP, CRNA 1421 N 7th St, Terre Haute, IN 47807-1005 Ph: (812) 231-4608

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Terre Haute, IN

Robert Lucas Gomez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3901 S 7th St, Terre Haute, IN 47802 Phone: 812-237-0211 Fax: 812-237-0182
Rebecca Maupin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3901 S 7th St, Terre Haute, IN 47802 Phone: 812-232-0021
Dr. Derrianne Michelle Monteiro, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1421 N 7th St, Terre Haute, IN 47807 Phone: 812-231-4608 Fax: 812-231-4675
Mr. John Nathan Neukam, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3901 S 7th St, Terre Haute, IN 47802 Phone: 812-232-0021
Dr. Megan Gale Engelman, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1606 N 7th St, Terre Haute, IN 47804 Phone: 317-902-7309
Peggy Sue Mccormick, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1421 N 7th St, Terre Haute, IN 47807 Phone: 812-232-7192 Fax: 903-677-5586
Adam Kynaston, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3901 S 7th St, Terre Haute, IN 47802 Phone: 812-232-0021

Dr Ednita Charzette Street Fountain, DNP, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Terre Haute, IN