Mrs Tammy J Grosulak, CRNA | |
30 7th St W, Dickinson, ND 58601-4335 | |
(701) 456-4000 | |
(701) 456-4800 |
Full Name | Mrs Tammy J Grosulak |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 17 Years |
Location | 30 7th St W, Dickinson, North Dakota |
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 |
---|---|---|---|
1083892095 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R28920 (North Dakota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
West River Health Services | 0042127045 | 15 |
Entity Name | Trinity Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083653752 PECOS PAC ID: 7911816020 Enrollment ID: O20031106000316 |
Entity Name | St. Joseph's Hospital And Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730464108 PECOS PAC ID: 0547177560 Enrollment ID: O20031107000651 |
Entity Name | West River Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174606271 PECOS PAC ID: 0042127045 Enrollment ID: O20040128001023 |
Entity Name | West River Health Services |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1588763247 PECOS PAC ID: 0042127045 Enrollment ID: O20100909000218 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tammy J Grosulak, CRNA 30 7th St W, Dickinson, ND 58601-4335 Ph: (701) 456-4000 | Mrs Tammy J Grosulak, CRNA 30 7th St W, Dickinson, ND 58601-4335 Ph: (701) 456-4000 |
Arlys Jorda, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 30 7th St W, Dickinson, ND 58601 Phone: 701-456-4000 Fax: 701-456-4800 | |
Glenn Lefor, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 30 7th St W, Dickinson, ND 58601 Phone: 701-456-4000 Fax: 701-456-4800 | |
Nancy Beck, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 30 7th St W, Dickinson, ND 58601 Phone: 701-456-4000 Fax: 701-456-4800 | |
Susan Stengel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 30 7th St W, Dickinson, ND 58601 Phone: 701-456-4000 Fax: 701-456-4800 | |
Christian Matthews, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 30 7th St W, Dickinson, ND 58601 Phone: 701-456-4000 Fax: 701-456-4800 |