Charles B Gladwell, CRNA - Medicare Nurse Anesthetist, Certified Registered in Boise, ID

Charles B Gladwell, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Boise, Idaho. His current practice location is 111 W State St, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 336-0895.

Charles B Gladwell is licensed to practice in Idaho (license number TEMPORARY) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689824633.

Contact Information

Charles B Gladwell, CRNA
111 W State St,
Boise, ID 83702-6127
(208) 336-0895
(208) 338-1796



Provider's Profile

Full NameCharles B Gladwell
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location111 W State St, Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689824633
  • Provider Enumeration Date: 09/26/2008
  • Last Update Date: 09/26/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 0446318182
  • Enrollment ID: I20130227000499

Medical Identifiers

Medical identifiers for Charles B Gladwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689824633NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered TEMPORARY (Idaho)Primary

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. Charles B Gladwell 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 AddressPractice Location Address
Charles B Gladwell, CRNA
111 W State St,
Boise, ID 83702-6127

Ph: (208) 336-0895
Charles B Gladwell, CRNA
111 W State St,
Boise, ID 83702-6127

Ph: (208) 336-0895

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› Verified 6 days ago


Nurse Anesthetist, Certified Registered Nurses in Boise, ID

Mr. Douglas Neurath,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 111 W State St, Boise, ID 83702
Phone: 208-336-0895    
Jordan B Wolff, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 111 W State St, Boise, ID 83702
Phone: 208-336-0895    Fax: 208-338-1796
Nathan S Call, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 190 E Bannock St, Boise, ID 83712
Phone: 208-381-2222    
Ashton Mieritz, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-2121    
Kenneth Clark Stratton Jr., CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-2559    
Diana San Juan Shimko, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-6416    
David Hansen, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 338 E Bannock St, Boise, ID 83712
Phone: 208-336-0895    

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