| Dr Brooke Tillia, CRNA | |
|
13456 Fairway Loop S, Goodyear, AZ 85395-3111 | |
| (623) 986-6306 | |
| Not Available |
| Full Name | Dr Brooke Tillia |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 13456 Fairway Loop S, Goodyear, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184339947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 286040 (Arizona) | Primary |
| Entity Name | Greater Anesthesia Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124430244 PECOS PAC ID: 9234357906 Enrollment ID: O20140822000525 |
| Entity Name | Elite Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245623834 PECOS PAC ID: 6709058845 Enrollment ID: O20150810001731 |
| Entity Name | Banner - University Hospital Based Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750751566 PECOS PAC ID: 1052614294 Enrollment ID: O20160122000508 |
| Entity Name | Hospitalist Medicine Physicians Of Arizona - Nogales |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487251799 PECOS PAC ID: 9335554625 Enrollment ID: O20210218002429 |
| Entity Name | Mountain View Headache And Spine Institute Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356925960 PECOS PAC ID: 9830590439 Enrollment ID: O20210701003433 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brooke Tillia, CRNA Po Box 2017, Litchfield Park, AZ 85340-2017 Ph: () - | Dr Brooke Tillia, CRNA 13456 Fairway Loop S, Goodyear, AZ 85395-3111 Ph: (623) 986-6306 |
Logan James Roach, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500 | |
Mr. Alfredo Suarez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500 | |
Marianne Antony Alapatt, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500 | |
Dr. Jane Krause, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500 | |
Maria Sarrazin Earl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500 | |
Glade Warren Johnson, CRNA, BSN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500 |