Glenn L Tanzman, CRNA | |
593 Eddy Street, Davol 129, Providence, RI 02903-4923 | |
(401) 444-4933 | |
(401) 444-5090 |
Full Name | Glenn L Tanzman |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 19 Years |
Location | 593 Eddy Street, Providence, Rhode Island |
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 |
---|---|---|---|
1053369173 | NPI | - | NPPES |
1286 | Other | RI | BLUE CROSS |
0010803 | Other | RI | BLUE CHIP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN246965 (Massachusetts) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RNA36635 (Rhode Island) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southcoast Hospitals Group | Fall river, MA | Hospital |
Rhode Island Hospital | Providence, RI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lifespan Physician Group Inc | 2567455082 | 631 |
Southcoast Physicians Group Inc | 0749171957 | 746 |
Umass Memorial Medical Group Inc | 4284539891 | 1889 |
Entity Name | Narragansett Bay Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861445728 PECOS PAC ID: 5991774929 Enrollment ID: O20040928000003 |
Entity Name | Lifespan Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053782466 PECOS PAC ID: 2567455082 Enrollment ID: O20160121000235 |
Entity Name | Mvp Anesthesia Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477507598 PECOS PAC ID: 5799734208 Enrollment ID: O20171010000383 |
Mailing Address | Practice Location Address |
---|---|
Glenn L Tanzman, CRNA One Virginia Avenue, Suite 201, Providence, RI 02905 Ph: (401) 490-0916 | Glenn L Tanzman, CRNA 593 Eddy Street, Davol 129, Providence, RI 02903-4923 Ph: (401) 444-4933 |
Brian F Girard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090 | |
Peter W Wolferseder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090 | |
Marie A Mills, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090 | |
Beth Vanpraag, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090 | |
Paulette Champion, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090 | |
Angela Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090 | |
Garrick Mark Whitlock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 825 Chalkstone Ave, Providence, RI 02908 Phone: 401-456-2000 |