| Mr Charles Miguel Serrano, CRNA | |
|
6800 Il-162, Maryville, IL 62062 | |
| (800) 281-3903 | |
| Not Available |
| Full Name | Mr Charles Miguel Serrano |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 6800 Il-162, Maryville, Illinois |
| 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 |
|---|---|---|---|
| 1316636186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 041.494360 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner Hospital Based Physicians Arizona Llc | 3274782487 | 524 |
| Entity Name | Banner Hospital Based Physicians Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275889891 PECOS PAC ID: 3274782487 Enrollment ID: O20121003000752 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Charles Miguel Serrano, CRNA 2621 Spyglass Ct Apt D, Edwardsville, IL 62025-3673 Ph: (435) 237-7040 | Mr Charles Miguel Serrano, CRNA 6800 Il-162, Maryville, IL 62062 Ph: (800) 281-3903 |
Michael Petru, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6810 State Route 162, Suite 215, Maryville, IL 62062 Phone: 618-288-5711 | |
Michael Southwick, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6810 State Route 162, Ste 215, Maryville, IL 62062 Phone: 618-288-5711 | |
Ms. Connie Ann Dumm, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 618-288-5711 | |
Dr. Jared T Holton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6800 State Route 162, Maryville, IL 62062 Phone: 800-281-3903 | |
Joseph Hines, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6810 State Route 162, Ste 215, Maryville, IL 62062 Phone: 618-288-5711 | |
Mark Silvey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6810 State Route 162, Suite 215, Maryville, IL 62062 Phone: 618-288-5711 | |
Sherri Blaha, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6810 State Route 162, Suite 215, Maryville, IL 62062 Phone: 618-288-5711 |