| Kevin Tatum, RN | |
|
115 Mall Dr, Hanford, CA 93230-5786 | |
| (559) 582-9000 | |
| Not Available |
| Full Name | Kevin Tatum |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 115 Mall Dr, Hanford, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285293969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 95045187 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 95001171 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fresno Surgical Hospital | Fresno, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Omni Anesthesia Associates Inc | 4385638303 | 8 |
| Central California Anesthesiology Solutions | 7719317213 | 26 |
| Anesthesia Consultants Of Fresno | 8527967082 | 61 |
| Entity Name | Anesthesia Consultants Of Fresno |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124058177 PECOS PAC ID: 8527967082 Enrollment ID: O20040102000852 |
| Entity Name | Omni Anesthesia Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720038839 PECOS PAC ID: 4385638303 Enrollment ID: O20040413000584 |
| Entity Name | Central California Anesthesiology Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861020224 PECOS PAC ID: 7719317213 Enrollment ID: O20200424000764 |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Tatum, RN 6673 E Cornell Ave, Fresno, CA 93727-1431 Ph: (559) 577-7872 | Kevin Tatum, RN 115 Mall Dr, Hanford, CA 93230-5786 Ph: (559) 582-9000 |
Shawn Harris, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 255 W Harold Griswold Way, Hanford, CA 93230 Phone: 559-381-5004 | |
Mrs. Michelle Marie Mertens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 Mall Dr, Hanford, CA 93230 Phone: 559-582-9000 | |
Carl Eric Galeon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 Mall Dr, Hanford, CA 93230 Phone: 559-582-9000 | |
Michael P O'hara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 450 Greenfield Ave, Hanford, CA 93230 Phone: 559-582-9000 | |
Mr. Thomas Phillip Matula, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 450 Greenfield Avenue, Hanford, CA 93230 Phone: 559-582-9000 | |
Alexis Alfaro, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 Mall Dr, Hanford, CA 93230 Phone: 480-280-0300 | |
Anissa Joan Gerber, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 450 Greenfield Avenue, Hanford, CA 93230 Phone: 559-582-9000 |