| Kayla Marie Tisza, DNP, CRNA | |
|
4500 Memorial Dr, Belleville, IL 62226-5360 | |
| (618) 233-7750 | |
| Not Available |
| Full Name | Kayla Marie Tisza |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 4500 Memorial Dr, Belleville, Illinois |
| 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 |
|---|---|---|---|
| 1841815784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 10043856 (Oregon) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209.021418 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hca-healthone Dba Swedish Medical Center | Englewood, CO | Hospital |
| Prov Sacred Hrt Med Ctr & Childs Hosp. | Spokane, WA | Hospital |
| Centura Health-porter Adventist Hospital | Denver, CO | Hospital |
| Sky Ridge Medical Center | Lone tree, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Health And Service- Washington | 0840279758 | 164 |
| Us Anesthesia Partners Of Colorado Inc | 6002072055 | 452 |
| Entity Name | Providence Health & Service- Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508118555 PECOS PAC ID: 0840279758 Enrollment ID: O20090717000201 |
| Mailing Address | Practice Location Address |
|---|---|
| Kayla Marie Tisza, DNP, CRNA 4056 Cleveland Ave Apt 1w, Saint Louis, MO 63110-3959 Ph: (312) 953-0355 | Kayla Marie Tisza, DNP, CRNA 4500 Memorial Dr, Belleville, IL 62226-5360 Ph: (618) 233-7750 |
Allan Schwartz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 211 S 3rd St, Belleville, IL 62220 Phone: 618-234-2120 Fax: 618-641-5810 | |
Alexis Jones, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-5972 | |
Bridgette L Peek, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Anesthesia Dept, Belleville, IL 62226 Phone: 618-257-2175 | |
Jennifer R Jobe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Drive, Belleville, IL 62223 Phone: 618-257-4076 | |
Linda Bennett, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 28 N 64th St, Belleville, IL 62223 Phone: 314-991-0985 Fax: 908-653-9305 | |
Mrs. Kristin Renee Maberry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-4076 | |
Leah D Corbitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Drive, Anesthesia Depart Memorial Hospital, Belleville, IL 62226 Phone: 618-257-5162 |