| Dionne Michelle Tyree, CRNA | |
|
200 Medical Park Blvd, Petersburg, VA 23805 | |
| (804) 765-5000 | |
| Not Available |
| Full Name | Dionne Michelle Tyree |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 200 Medical Park Blvd, Petersburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427389709 | NPI | - | NPPES |
| 1427389709 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001138871 (Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024168660 (Virginia) | Primary |
| Entity Name | Richmond Gastroenterology Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639127962 PECOS PAC ID: 8426950692 Enrollment ID: O20040127000462 |
| Entity Name | American Anesthesiology Of Virginia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606 |
| Entity Name | Greensboro Anesthesia Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073772612 PECOS PAC ID: 8729129226 Enrollment ID: O20100106000273 |
| Entity Name | Sicuro Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750102935 PECOS PAC ID: 8527596675 Enrollment ID: O20250116003085 |
| Mailing Address | Practice Location Address |
|---|---|
| Dionne Michelle Tyree, CRNA 3998 Fair Ridge Dr, Suite 300, Fairfax, VI 22033-2921 Ph: (703) 295-9360 | Dionne Michelle Tyree, CRNA 200 Medical Park Blvd, Petersburg, VA 23805 Ph: (804) 765-5000 |
Jack Lee Suddreth, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 801 S Adams St, Petersburg, VA 23808 Phone: 804-862-5000 Fax: 804-862-5948 | |
Maribel K Abenir, CRNA-NP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Southside Regional Medical Center, Petersburg, VA 23805 Phone: 804-765-5000 Fax: 804-765-6250 | |
Ann Wade Sublette, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 801 S Adams St, Petersburg, VA 23803 Phone: 804-862-5000 Fax: 804-862-5948 | |
Edde Karen Springer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5060 | |
Irene Mai Ratliff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5000 | |
Kendria Sherrill Frasier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 703-295-9360 | |
Heather Day, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-288-4453 Fax: 804-288-1621 |