| Mrs Sasha Marie Tisdell, | |
|
2450 Riverside Ave, Minneapolis, MN 55454-1450 | |
| (612) 365-1000 | |
| Not Available |
| Full Name | Mrs Sasha Marie Tisdell |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 2450 Riverside Ave, Minneapolis, Minnesota |
| 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 |
|---|---|---|---|
| 1932539079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R175275-5 (Minnesota) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 100390 (Minnesota) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mngi Digestive Health Pa | 8123016557 | 267 |
| Entity Name | Mngi Digestive Health Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609804541 PECOS PAC ID: 8123016557 Enrollment ID: O20040504001467 |
| Entity Name | University Anesthesia Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699711143 PECOS PAC ID: 7315986064 Enrollment ID: O20050502000881 |
| Entity Name | Summit Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104358464 PECOS PAC ID: 3870866775 Enrollment ID: O20170828004249 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Sasha Marie Tisdell, 2450 Riverside Ave, Minneapolis, MN 55454-1450 Ph: (612) 365-1000 | Mrs Sasha Marie Tisdell, 2450 Riverside Ave, Minneapolis, MN 55454-1450 Ph: (612) 365-1000 |
Tiffanie J Woods, CPNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2530 Chicago Ave, Minneapolis, MN 55404 Phone: 612-874-1292 | |
Tiffany Woynilko, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 801 Park Ave, Minneapolis, MN 55404 Phone: 612-343-3265 Fax: 612-343-3267 | |
Rachel Foss, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 801 Park Ave, Minneapolis, MN 55404 Phone: 612-343-3265 Fax: 612-343-3267 | |
Amanda Carter, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1099 10th Ave Se, Minneapolis, MN 55414 Phone: 612-767-6272 | |
Andrew Richard Erickson, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-863-4000 | |
Tessa Somermeyer, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 909 Fulton St Se, Minneapolis, MN 55455 Phone: 612-625-4680 | |
Kylie Marie Jackson, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 715 S 8th St, Minneapolis, MN 55404 Phone: 612-873-6963 |