| Lydia Vanwormer, | |
|
2200 S Houghton Rd, Tucson, AZ 85748-7632 | |
| (520) 543-6100 | |
| Not Available |
| Full Name | Lydia Vanwormer |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 2200 S Houghton Rd, Tucson, Arizona |
| 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 |
|---|---|---|---|
| 1750778221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 257519 (North Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 699344 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Medical Center Sahuarita | Sahuarita, AZ | Hospital |
| Northwest Medical Center | Tucson, AZ | Hospital |
| Corewell Health Grand Rapids Hospitals Butterworth | Grand rapids, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Spectrum Health Primary Care Partners | 4587568647 | 2283 |
| Northwest Hbp Medical Services Llc | 8921356536 | 278 |
| Entity Name | Spectrum Health Primary Care Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
| Entity Name | Northern Anesthesia Providers PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396834628 PECOS PAC ID: 4789579863 Enrollment ID: O20040218000105 |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia Vanwormer, 2017 Copper Leaf Pkwy, Apt. 207, Durham, NC 27703-7749 Ph: (850) 501-8316 | Lydia Vanwormer, 2200 S Houghton Rd, Tucson, AZ 85748-7632 Ph: (520) 543-6100 |
Ellen Marie Kulesa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6200 N La Cholla Blvd, Tucson, AZ 85741 Phone: 520-742-9000 |
Eric Stanley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6200 N La Cholla Blvd, Tucson, AZ 85741 Phone: 520-742-9000 |
Steven Anderson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1625 N Campbell Ave, Tucson, AZ 85719 Phone: 520-827-8448 |
Silvia Galvan Druke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 N Campbell Ave Rm 5301, Tucson, AZ 85724 Phone: 520-626-7221 Fax: 520-626-6943 |
Christy Mccrea, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6200 N La Cholla Blvd, Tucson, AZ 85741 Phone: 520-742-9000 Fax: 877-848-1457 |
Alice C Dastrup, ARNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6200 N La Cholla Blvd, Tucson, AZ 85741 Phone: 520-742-9000 |
Bryan Coleman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3390 N Campbell Ave Ste 110, Tucson, AZ 85719 Phone: 520-795-7650 Fax: 520-325-1622 |