Tracy Lynn Blair, CRNA | |
8107 Stonegate Dr, Tinley Park, IL 60487-7191 | |
(815) 469-0320 | |
Not Available |
Full Name | Tracy Lynn Blair |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 19 Years |
Location | 8107 Stonegate Dr, Tinley Park, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578689220 | NPI | - | NPPES |
312745064 | Medicaid | IL | |
200859590 | Medicaid | IN | |
000000518200 | Other | IN | ANTHEM BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 28164567A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
East Cooper Medical Center | Mount pleasant, SC | Hospital |
Mount Pleasant Hospital | Mount pleasant, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Atlantic Coast Anesthesia Services Pc | 3971887167 | 90 |
Bon Secours St Francis Xavier Hospital Inc | 8325008717 | 164 |
Charleston Gastroenterology Specialists | 3173437472 | 80 |
Entity Name | Charleston Gastroenterology Specialists |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205835865 PECOS PAC ID: 3173437472 Enrollment ID: O20031119000237 |
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 |
Entity Name | Atlantic Coast Anesthesia Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932641313 PECOS PAC ID: 3971887167 Enrollment ID: O20170308000291 |
Mailing Address | Practice Location Address |
---|---|
Tracy Lynn Blair, CRNA 8107 Stonegate Dr, Tinley Park, IL 60487-7191 Ph: (815) 469-0320 | Tracy Lynn Blair, CRNA 8107 Stonegate Dr, Tinley Park, IL 60487-7191 Ph: (815) 469-0320 |
Robert J Rady, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 17954 Highland Ave, Tinley Park, IL 60477 Phone: 708-614-7588 Fax: 708-614-6588 | |
Daniel Bermea, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6811 Brementowne Dr, Tinley Park, IL 60477 Phone: 630-362-7636 |