Mr Charles Reginald Elam Iv, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Denison, Iowa. He graduated from nursing school in 2010 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Partners And Management Llc and his current practice location is
100 Medical Pkwy, Denison, Iowa. You can reach out to his office (for appointments etc.) via phone at
(712) 265-2683.
Mr Charles Reginald Elam Iv is licensed to practice in Iowa (license number D138067) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184927634.
Provider's Profile
| Full Name | Mr Charles Reginald Elam Iv |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 16 Years |
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| Location | 100 Medical Pkwy, Denison, Iowa |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Charles Reginald Elam Iv graduated from nursing school in 2010
NPI Data:
- NPI Number: 1184927634
- Provider Enumeration Date: 12/06/2010
- Last Update Date: 11/02/2016
Medicare PECOS Information:
- PECOS PAC ID: 1254516453
- Enrollment ID: I20190522003301
Medical Identifiers
Medical identifiers for Mr Charles Reginald Elam Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1184927634 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | D138067 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Anesthesia Partners And Management Llc | 9931429198 | 163 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Charles Reginald Elam Iv allows following entities to bill medicare on his behalf.
| Entity Name | Anesthesia Partners & Management Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336530997 PECOS PAC ID: 9931429198 Enrollment ID: O20150529000706 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Charles Reginald Elam Iv is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| 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 |
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