Edson E Charles, NP - Medicare Nurse Anesthetist, Certified Registered in Travis Afb, CA

Edson E Charles, NP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Travis Afb, California. His current practice location is 101 Bodin Cir, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at (937) 829-0203.

Edson E Charles is licensed to practice in Ohio (license number 0020575) 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 1417683178.

Contact Information

Edson E Charles, NP
101 Bodin Cir,
Travis Afb, CA 94535-1809
(937) 829-0203
Not Available



Provider's Profile

Full NameEdson E Charles
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location101 Bodin Cir, Travis Afb, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417683178
  • Provider Enumeration Date: 07/26/2022
  • Last Update Date: 08/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8729443288
  • Enrollment ID: I20230505000842

Medical Identifiers

Medical identifiers for Edson E Charles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417683178NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 0020575 (Ohio)Primary

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. Edson E Charles allows following entities to bill medicare on his behalf.
Entity NameAmsurg Oakland Anesthesia Lp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679847727
PECOS PAC ID: 8224292123
Enrollment ID: O20120605000461

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Entity NameCommunity Foundation Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811258510
PECOS PAC ID: 0345406294
Enrollment ID: O20120723000387

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Entity NameRegional Anesthesia Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811442874
PECOS PAC ID: 7810275096
Enrollment ID: O20161021001369

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Entity NameBaec Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114446291
PECOS PAC ID: 7214293430
Enrollment ID: O20171103002022

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Entity NameAdvanced Anesthesia Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720543762
PECOS PAC ID: 4880936145
Enrollment ID: O20190507001500

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Entity NameGreen Anesthesia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457039331
PECOS PAC ID: 6103270566
Enrollment ID: O20231004000338

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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. Edson E Charles 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
Edson E Charles, NP
101 Bodin Cir,
Travis Afb, CA 94535-1809

Ph: () -
Edson E Charles, NP
101 Bodin Cir,
Travis Afb, CA 94535-1809

Ph: (937) 829-0203

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› Verified 3 days ago


Nurse Anesthetist, Certified Registered Nurses in Travis Afb, CA

Mr. Martin Ockert, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3589    
Mr. Jerry Edward Glattfelt, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 100 Bodin Cir, 60 Th Msgs/sgcsa, Travis Afb, CA 94535
Phone: 707-423-5370    
Mr. David Lee Perkins, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 708-423-3589    
Michael Millar, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3339    
Benjamin Jorgensen, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-673-3594    
Jorge Montequin,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3339    
Shawna Mills Greiner, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3583    

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