| Shawn Childress, | |
|
1064 Gardner Rd Ste 112, Charleston, SC 29407-5768 | |
| (843) 723-3441 | |
| Not Available |
| Full Name | Shawn Childress |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 13 Years |
| Location | 1064 Gardner Rd Ste 112, 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 |
|---|---|---|---|
| 1962839209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 6906 (* (Not Available)) | Secondary |
| 367H00000X | Anesthesiologist Assistant | 87 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trident Medical Center | Charleston, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trident Anesthesia Group Llc | 5294631545 | 105 |
| Entity Name | Trident Anesthesia Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376595520 PECOS PAC ID: 5294631545 Enrollment ID: O20031209000391 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn Childress, Po Box 603484, Charlotte, NC 28260-3484 Ph: (803) 765-1732 | Shawn Childress, 1064 Gardner Rd Ste 112, Charleston, SC 29407-5768 Ph: (843) 723-3441 |
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 | |
Robert Converse, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-402-1436 Fax: 843-402-1833 | |
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 |