Glenn L Tanzman, CRNA in Providence, RI - Medicare Certified Registered Nurse Anesthetist (crna)

Glenn L Tanzman, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Providence, Rhode Island. He graduated from nursing school in 2005 and has 20 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Clinical Colleagues Inc, Southcoast Physicians Group Inc and his current practice location is 593 Eddy Street, Davol 129, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 444-4933.

Glenn L Tanzman is licensed to practice in Rhode Island (license number RNA36635) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1053369173.

Contact Information

	Glenn L Tanzman, CRNA
	593 Eddy Street, Davol 129, Providence, RI 02903-4923
	(401) 444-4933
	(401) 444-5090

Map and Direction

Provider's Profile

Full Name	Glenn L Tanzman
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	20 Years
Location	593 Eddy Street, Providence, Rhode Island
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Glenn L Tanzman graduated from nursing school in 2005

NPI Data:

NPI Number: 1053369173
Provider Enumeration Date: 05/04/2006
Last Update Date: 06/17/2025

Medicare PECOS Information:

PECOS PAC ID: 9537179593
Enrollment ID: I20060504000645

Medical Identifiers

Medical identifiers for Glenn L Tanzman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053369173	NPI	-	NPPES
0010803	Other	RI	BLUE CHIP
1286	Other	RI	BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN246965 (Massachusetts)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	RNA36635 (Rhode Island)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southcoast Hospitals Group	Fall river, MA	Hospital
Landmark Medical Center	Woonsocket, RI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Clinical Colleagues Inc	8729011333	148
Southcoast Physicians Group Inc	0749171957	789

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Glenn L Tanzman allows following entities to bill medicare on his behalf.

Entity Name	Narragansett Bay Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861445728 PECOS PAC ID: 5991774929 Enrollment ID: O20040928000003

Entity Name	Mvp Anesthesia Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477507598 PECOS PAC ID: 5799734208 Enrollment ID: O20171010000383

Entity Name	Clinical Colleagues Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992725766 PECOS PAC ID: 8729011333 Enrollment ID: O20250306002182

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Glenn L Tanzman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Glenn L Tanzman, CRNA One Virginia Avenue, Suite 201, Providence, RI 02905 Ph: (401) 490-0916	Glenn L Tanzman, CRNA 593 Eddy Street, Davol 129, Providence, RI 02903-4923 Ph: (401) 444-4933

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Providence, RI

Brian F Girard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090
Peter W Wolferseder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090
Marie A Mills, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090
Beth Vanpraag, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090
Paulette Champion, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 593 Eddy St, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090
Angela Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090
Garrick Mark Whitlock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 825 Chalkstone Ave, Providence, RI 02908 Phone: 401-456-2000

Glenn L Tanzman, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Providence, RI