Tamara L Poulson, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Mesa, AZ

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Tamara L Poulson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mesa, Arizona. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Banner Hospital Based Physicians Arizona Llc and her current practice location is 6644 E Baywood Ave, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 321-2000.

Tamara L Poulson is licensed to practice in Arizona (license number CRNA1475) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336673292.

Contact Information

Tamara L Poulson, CRNA
6644 E Baywood Ave,
Mesa, AZ 85206-1747
(480) 321-2000
Not Available

Map and Direction




Provider's Profile

Full NameTamara L Poulson
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience8 Years
Location6644 E Baywood Ave, Mesa, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tamara L Poulson graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1336673292
  • Provider Enumeration Date: 04/18/2017
  • Last Update Date: 02/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4789951922
  • Enrollment ID: I20190624002588

Medical Identifiers

Medical identifiers for Tamara L Poulson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336673292NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN160031 (Arizona)Secondary
367500000XNurse Anesthetist, Certified Registered CRNA1475 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Gateway Medical CenterGilbert, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Banner Hospital Based Physicians Arizona Llc3274782487524

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tamara L Poulson allows following entities to bill medicare on her behalf.
Entity NameBanner Hospital Based Physicians Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275889891
PECOS PAC ID: 3274782487
Enrollment ID: O20121003000752
Entity NameArizona Advanced Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134479892
PECOS PAC ID: 0941454953
Enrollment ID: O20130129000024
Entity NameGreater Anesthesia Solutions
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124430244
PECOS PAC ID: 9234357906
Enrollment ID: O20140822000525
Entity NameAnesthesia Partners & Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336530997
PECOS PAC ID: 9931429198
Enrollment ID: O20150529000706
Entity NameGrand Canyon Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356822902
PECOS PAC ID: 3678824752
Enrollment ID: O20180928002378
Entity NameAnesthesia Partners Of Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619452901
PECOS PAC ID: 8628317179
Enrollment ID: O20190228001927
Entity NameHospitalist Medicine Physicians Of Arizona - Nogales
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487251799
PECOS PAC ID: 9335554625
Enrollment ID: O20210218002429

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tamara L Poulson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tamara L Poulson, CRNA
Po Box 22487,
Green Bay, WI 54305-2487

Ph: (920) 445-7222		Tamara L Poulson, CRNA
6644 E Baywood Ave,
Mesa, AZ 85206-1747

Ph: (480) 321-2000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Mesa, AZ

Annabell Stimac, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3060 N Ridgecrest, Apt 164, Mesa, AZ 85207
Phone: 480-654-8197    
Joshua Todd Austin, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 6644 E Baywood Ave, Mesa, AZ 85206
Phone: 480-321-2000    
Juancho C. Depaolo, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 1301 S Crismon Rd, Mesa, AZ 85209
Phone: 800-402-0881    
Mr. Stephen Troy Porter, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 135 S Power Rd Ste 110, Mesa, AZ 85206
Phone: 480-745-8577    
Candice Weierman Rodriguez, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4838 E. Baseline Road, Suite 108, Mesa, AZ 85206
Phone: 480-981-2400    Fax: 480-981-2407
Jennifer Michelle Hayden, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1155 S Power Rd Ste, Mesa, AZ 85206
Phone: 623-271-2254    
Stuart Russell,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2330 E Jasmine St, Mesa, AZ 85213
Phone: 480-980-7302    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.