Nicole Renee Tantipitham, CRNA - Anesthesiology in Ann Arbor, MI

Nicole Renee Tantipitham, CRNA is a Anesthesiology - Critical Care Medicine based in Ann Arbor, Michigan. Nicole Renee Tantipitham is licensed to practice in Michigan (license number 4704253054) and her current practice location is 1500 E Medical Center Dr, 1h247 University Hospital, Ann Arbor, Michigan. She can be reached at her office (for appointments etc.) via phone at (734) 936-4280.

NPI number for Nicole Renee Tantipitham is 1417266339 and her current mailing address is 3621 S State St, 700 Kms Place, Ann Arbor, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417266339.

Contact Information

Nicole Renee Tantipitham, CRNA
1500 E Medical Center Dr, 1h247 University Hospital,
Ann Arbor, MI 48109-5048
(734) 936-4280
Not Available

Map and Direction




Provider's Profile

Full NameNicole Renee Tantipitham
GenderFemale
SpecialityAnesthesiology - Critical Care Medicine
Location1500 E Medical Center Dr, Ann Arbor, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417266339
  • Provider Enumeration Date: 09/27/2010
  • Last Update Date: 10/03/2019

Medical Identifiers

Medical identifiers for Nicole Renee Tantipitham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417266339NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4704253054 (Michigan)Secondary
207LC0200XAnesthesiology - Critical Care Medicine 4704253054 (Michigan)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. Nicole Renee Tantipitham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Renee Tantipitham, CRNA
3621 S State St, 700 Kms Place,
Ann Arbor, MI 48108

Ph: (734) 936-2047
Nicole Renee Tantipitham, CRNA
1500 E Medical Center Dr, 1h247 University Hospital,
Ann Arbor, MI 48109-5048

Ph: (734) 936-4280

Reviews and Comments



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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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