| 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 | Nurse Anesthetist, Certified Registered | 
| Location | 333 Route 25a Ste 225, Rocky Point, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1932847290 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 735812 (New York) | Primary | 
| 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: Accepting Medicare Assignments 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  |