| 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 | 6 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 |
|---|---|---|
| Ohsu Hospital And Clinics | Portland, OR | Hospital |
| Memorial Hospital | Belleville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Anesthesia Providers Sc | 9830480581 | 180 |
| Entity Name | Midwest Anesthesia Providers SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295189082 PECOS PAC ID: 9830480581 Enrollment ID: O20160628000182 |
| 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 |
Brian Bendel, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 561-623-2008 |
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 |