| Ella Tisdale, CRNA | |
|
4070 Highway 17, Murrells Inlet, SC 29576-5033 | |
| (843) 652-1000 | |
| Not Available |
| Full Name | Ella Tisdale |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 4070 Highway 17, Murrells Inlet, South Carolina |
| 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 |
|---|---|---|---|
| 1568228393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28445 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tidelands Waccamaw Community Hospital | Murrells inlet, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tidelands Anesthesia Group Llc | 5395258065 | 23 |
| Medstream Anesthesia Pllc | 7416198049 | 515 |
| Entity Name | Medstream Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001021 |
| Mailing Address | Practice Location Address |
|---|---|
| Ella Tisdale, CRNA 4070 Highway 17, Murrells Inlet, SC 29576-5033 Ph: () - | Ella Tisdale, CRNA 4070 Highway 17, Murrells Inlet, SC 29576-5033 Ph: (843) 652-1000 |
James David Forrest, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 747 Woody Point Dr, Murrells Inlet, SC 29576 Phone: 843-359-9749 | |
Nicole Latasha Cesaire, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4070 Highway 17, Murrells Inlet, SC 29576 Phone: 843-652-1000 | |
Chloe Urig Bond, DNAP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4070 Highway 17, Murrells Inlet, SC 29576 Phone: 843-652-1000 | |
Chester Homicki, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4070 Highway 17, Murrells Inlet, Murrells Inlet, SC 29576 Phone: 843-652-1000 | |
Amy Dudzinski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4070 Highway 17, Murrells Inlet, SC 29576 Phone: 843-652-1000 | |
Sandra D Shelley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3911 Highway 17 # B, Murrells Inlet, SC 29576 Phone: 843-651-8211 |