| Mr Charles Reginald Elam Iv, | |
|
100 Medical Pkwy, Denison, IA 51442-2607 | |
| (712) 265-2683 | |
| (712) 265-2682 |
| Full Name | Mr Charles Reginald Elam Iv |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 100 Medical Pkwy, Denison, Iowa |
| 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 |
|---|---|---|---|
| 1184927634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | D138067 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St. Mary's Hospital | Tucson, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Partners And Management Llc | 9931429198 | 149 |
| Entity Name | Anesthesia Partners & Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336530997 PECOS PAC ID: 9931429198 Enrollment ID: O20150529000706 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Charles Reginald Elam Iv, 100 Medical Pkwy, Denison, IA 51442-2607 Ph: (712) 265-2683 | Mr Charles Reginald Elam Iv, 100 Medical Pkwy, Denison, IA 51442-2607 Ph: (712) 265-2683 |
Paul G. Gartner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2020 1st Ave S, Denison, IA 51442 Phone: 712-263-5021 Fax: 712-263-1600 | |
Julie Dekker Flint, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 100 Medical Pkwy, Denison, IA 51442 Phone: 712-265-2500 | |
Mr. Robert J. Ballard, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2020 1st Ave S, Denison, IA 51442 Phone: 712-263-5021 Fax: 712-263-1600 |