| Robert Converse, CAA | |
|
2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | |
| (843) 402-1436 | |
| (843) 402-1833 |
| Full Name | Robert Converse |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 10 Years |
| Location | 2095 Henry Tecklenburg Dr, Charleston, South Carolina |
| 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 |
|---|---|---|---|
| 1457896375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | ANT.0000072 (Colorado) | Secondary |
| 367H00000X | Anesthesiologist Assistant | 75 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Roper Hospital | Charleston, SC | Hospital |
| Mount Pleasant Hospital | Mount pleasant, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bon Secours St Francis Xavier Hospital Inc | 8325008717 | 182 |
| Entity Name | Bon Secours St Francis Xavier Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740502822 PECOS PAC ID: 8325008717 Enrollment ID: O20100607000884 |
| Entity Name | Atlantic Coast Anesthesia Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932641313 PECOS PAC ID: 3971887167 Enrollment ID: O20170308000291 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Converse, CAA Po Box 603484, Charlotte, NC 28260-3484 Ph: (803) 765-1838 | Robert Converse, CAA 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 Ph: (843) 402-1436 |
Jordan Moeller, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 9263 Medical Plaza Dr Ste E, Charleston, SC 29406 Phone: 843-572-1228 | |
Kathryn L Childress, PAAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-402-1436 Fax: 843-402-1833 | |
Katherine E Ali, A.A. Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-402-1436 Fax: 843-402-1833 | |
Mrs. Ashley Nicole O'donnell, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-402-1436 | |
Kathryn Voorhees, CAA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 9263 Medical Plaza Dr Ste E, Charleston, SC 29406 Phone: 843-572-1228 | |
Erin Alene Grevey, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 9263 Medical Plaza Dr Ste E, Charleston, SC 29406 Phone: 843-572-1228 |