| Mr Charles A Frisch, CRNA | |
|
2101 Box Butte Ave, Alliance, NE 69301-4445 | |
| (308) 762-6660 | |
| (308) 762-1923 |
| Full Name | Mr Charles A Frisch |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2101 Box Butte Ave, Alliance, Nebraska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871652669 | NPI | - | NPPES |
| 08610 | Other | NE | BCBSNE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 100733 (Nebraska) | Primary |
| Entity Name | Box Butte General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871652453 PECOS PAC ID: 9638089584 Enrollment ID: O20031218000378 |
| Entity Name | Cheyenne County Hospital Association Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487736963 PECOS PAC ID: 1658345657 Enrollment ID: O20050301000906 |
| Entity Name | Phelps Memorial Health Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1629035936 PECOS PAC ID: 9931011947 Enrollment ID: O20071129000753 |
| Entity Name | Phelps Memorial Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871528851 PECOS PAC ID: 9931011947 Enrollment ID: O20080603000111 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Charles A Frisch, CRNA 1021 Dakota Ave, Alliance, NE 69301-2334 Ph: (308) 762-2340 | Mr Charles A Frisch, CRNA 2101 Box Butte Ave, Alliance, NE 69301-4445 Ph: (308) 762-6660 |
Molly Hartman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2101 Box Butte Ave, Alliance, NE 69301 Phone: 308-762-6660 | |
Tatum Tyler, DNAP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2101 Box Butte Ave, Alliance, NE 69301 Phone: 308-762-6660 | |
Ms. Lorraine A Mccarthy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2101 Box Butte Ave, Alliance, NE 69301 Phone: 308-762-6660 Fax: 308-762-1923 |