| Mr Charles Dean Tabbert, CRNA | |
|
6822 Providence St Ste 2633, Whitehouse, OH 43571-9530 | |
| (419) 708-8175 | |
| Not Available |
| Full Name | Mr Charles Dean Tabbert |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 6822 Providence St Ste 2633, Whitehouse, Ohio |
| 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 |
|---|---|---|---|
| 1801252291 | NPI | - | NPPES |
| 0155072 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | COA.18591-NA (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.18591 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Health - Defiance Hospital | Defiance, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southwest Ohio Anesthesia Consultants Llc | 6901700640 | 331 |
| Firelands Anesthesia Associates Inc | 9032143334 | 7 |
| Entity Name | Southwest Ohio Anesthesia Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588645188 PECOS PAC ID: 6901700640 Enrollment ID: O20031124000399 |
| Entity Name | Firelands Anesthesia Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811906340 PECOS PAC ID: 9032143334 Enrollment ID: O20050926001020 |
| Entity Name | Ohio Anesthesia Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
| Entity Name | Northern Anesthesia Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821498650 PECOS PAC ID: 2567682073 Enrollment ID: O20141006000980 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Charles Dean Tabbert, CRNA 6822 Providence St Ste 2633, Whitehouse, OH 43571-9530 Ph: () - | Mr Charles Dean Tabbert, CRNA 6822 Providence St Ste 2633, Whitehouse, OH 43571-9530 Ph: (419) 708-8175 |