| Casey E Tillman, DNP NURSE ANESTHESIA | |
|
333 Route 25a Ste 225, Rocky Point, NY 11778-8802 | |
| (631) 503-1400 | |
| Not Available |
| Full Name | Casey E Tillman |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 333 Route 25a Ste 225, Rocky Point, New York |
| 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 |
|---|---|---|---|
| 1932847290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 735812 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Long Island Community Hospital | Patchogue, NY | Hospital |
| Ns/lij Hs Southside Hospital | Bay shore, NY | Hospital |
| St Charles Hospital | Port jefferson, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore - Lij Anesthesiology, Pc | 1153602453 | 937 |
| New York University | 1355232422 | 5027 |
| Quality Medical Management Corp | 5799193074 | 22 |
| Suffolk Anesthesiology Associates Pc | 6204725740 | 70 |
| Entity Name | Long Island Anesthesia Physicians Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952387276 PECOS PAC ID: 7113825381 Enrollment ID: O20040106000103 |
| Entity Name | Suffolk Anesthesiology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194826420 PECOS PAC ID: 6204725740 Enrollment ID: O20040312000960 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851456701 PECOS PAC ID: 1355232422 Enrollment ID: O20040329001569 |
| Entity Name | Office Based Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407947617 PECOS PAC ID: 2163400375 Enrollment ID: O20040713000424 |
| Entity Name | North Shore - Lij Anesthesiology, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417401266 PECOS PAC ID: 1153602453 Enrollment ID: O20161228001498 |
| Entity Name | Quality Medical Management Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114502606 PECOS PAC ID: 5799193074 Enrollment ID: O20210427000857 |
| Mailing Address | Practice Location Address |
|---|---|
| Casey E Tillman, DNP NURSE ANESTHESIA 3812 Christopher Dr, East Islip, NY 11730-1474 Ph: (347) 843-5118 | Casey E Tillman, DNP NURSE ANESTHESIA 333 Route 25a Ste 225, Rocky Point, NY 11778-8802 Ph: (631) 503-1400 |
Galo Burbano, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Route 25a, Suite 225, Rocky Point, NY 11778 Phone: 631-744-0396 | |
Kaitlyn Margaret Bonser, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 333 Route 25a Ste 225, Rocky Point, NY 11778 Phone: 631-503-1400 | |
Leonard A Goldberg, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Route 25a Ste 225, Rocky Point, NY 11778 Phone: 631-744-0396 | |
Michael V Lampasona, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Route 25a, Suite 225, Rocky Point, NY 11778 Phone: 631-744-3671 Fax: 631-744-6205 | |
Laura A George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Route 25a Ste 225, Rocky Point, NY 11778 Phone: 631-744-0396 | |
Colleen Erbis, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 333 Route 25a, Rocky Point, NY 11778 Phone: 631-744-3671 Fax: 631-744-6205 | |
Alison M Maletta, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Route 25a Ste 225, Rocky Point, NY 11778 Phone: 631-744-0396 |