| Mr Charles Harrison Hawthorne, CRNA | |
|
920 Stanton L Young Blvd # Wp1140, Oklahoma City, OK 73104-5036 | |
| (405) 271-4351 | |
| (405) 271-8695 |
| Full Name | Mr Charles Harrison Hawthorne |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 25 Years |
| Location | 920 Stanton L Young Blvd # Wp1140, Oklahoma City, Oklahoma |
| 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 |
|---|---|---|---|
| 1407926249 | NPI | - | NPPES |
| 1569739 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 068184 (Louisiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 205234 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Associated Anesthesiologists Sc | 6305744129 | 119 |
| Entity Name | Associated Anesthesiologists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558306480 PECOS PAC ID: 6305744129 Enrollment ID: O20031230000544 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Charles Harrison Hawthorne, CRNA Po Box 26901, Oklahoma City, OK 73126-0901 Ph: (405) 271-4351 | Mr Charles Harrison Hawthorne, CRNA 920 Stanton L Young Blvd # Wp1140, Oklahoma City, OK 73104-5036 Ph: (405) 271-4351 |
Traci Renee Wilmarth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9713 Lakecrest Dr, Oklahoma City, OK 73159 Phone: 405-213-5351 | |
Paul Jason Bradley, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Stanton L Young Blvd # Wp1140, Oklahoma City, OK 73104 Phone: 405-271-4351 Fax: 405-271-8695 | |
Michael Sean O'dell, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5501 N Portland Ave, Oklahoma City, OK 73112 Phone: 405-604-6000 | |
Mr. Darryl W. Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Ne 85th St, Oklahoma City, OK 73114 Phone: 405-631-3085 Fax: 405-616-2679 | |
Ivan Kozhulenko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 920 Stanton L Young Blvd Ste Wp1140, Oklahoma City, OK 73104 Phone: 405-271-4351 Fax: 405-271-8695 | |
Jasilin Hall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5501 N Portland Ave, Oklahoma City, OK 73112 Phone: 405-604-6000 | |
Robert Lee Rawls, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9600 Broadway Ext, Oklahoma City, OK 73114 Phone: 405-715-3610 Fax: 405-715-3612 |