| Mr William Carpenter, CRNA | |
| 
					8800 N Tryon St, Charlotte, NC 28262-3300  | |
| (704) 863-5665 | |
| Not Available | 
| Full Name | Mr William Carpenter | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 8800 N Tryon St, Charlotte, North Carolina | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1043254857 | NPI | - | NPPES | 
| NAN646 | Medicaid | SC | |
| 061304 | Other | NC | NC RN CERT. # | 
| 8050900 | Medicaid | NC | |
| 30982 | Other | NC | AANA NUMBER | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 30982 (North Carolina) | Primary | 
| Entity Name | Medstream Anesthesia Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001021  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr William Carpenter, CRNA Po Box 560727, Anesthesia Department, Charlotte, NC 28256-0727 Ph: (704) 863-5665  | Mr William Carpenter, CRNA 8800 N Tryon St, Charlotte, NC 28262-3300 Ph: (704) 863-5665  | 
Welo Sylvie Olenga, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4239 Fax: 704-384-5636  | |
Alexandru Daniel Vlasin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000  | |
Mr. Kevin E. West, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994  | |
Mrs. Colleen M. Ebner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994  | |
Mrs. Christine E. Jones, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-8983 Fax: 704-355-8994  | |
Meredith L Draper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000  | |
Alison Anne Woodruff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000  |