Tandy Gustin, CRNA in Fairfax, VA - Medicare Nurse Anesthetist, Certified Registered

Tandy Gustin, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fairfax, Virginia. Her current practice location is 3600 Joseph Siewick Dr, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 391-3129.

Tandy Gustin is licensed to practice in Virginia (license number 0001194334) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588903199.

Contact Information

	Tandy Gustin, CRNA
	3600 Joseph Siewick Dr, Fairfax, VA 22033-1709
	(703) 391-3129
	(703) 391-3006

Map and Direction

Provider's Profile

Full Name	Tandy Gustin
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	3600 Joseph Siewick Dr, Fairfax, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588903199
Provider Enumeration Date: 02/04/2013
Last Update Date: 03/20/2015

Medicare PECOS Information:

PECOS PAC ID: 4981859303
Enrollment ID: I20130308000241

Medical Identifiers

Medical identifiers for Tandy Gustin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588903199	NPI	-	NPPES
1588903199	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	0001194334 (Virginia)	Primary

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. Tandy Gustin allows following entities to bill medicare on her behalf.

Entity Name	Ambulatory Anesthesia Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720192230 PECOS PAC ID: 2264320829 Enrollment ID: O20040306000100

Entity Name	Ambulatory Anesthesia Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548363740 PECOS PAC ID: 3274516042 Enrollment ID: O20040612000612

Entity Name	Northstar Anesthesia Of Virginia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194488791 PECOS PAC ID: 6608268826 Enrollment ID: O20220120002585

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. Tandy Gustin 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 Address	Practice Location Address
Tandy Gustin, CRNA 3998 Fair Ridge Rd, Suite 300, Fairfax, VA 22033-2921 Ph: (703) 295-9360	Tandy Gustin, CRNA 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 Ph: (703) 391-3129

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fairfax, VA

Melissa K Hersch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3129
Kaley Lanzetta, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3129 Fax: 703-391-3006
Kelsey Schulman, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3998 Fair Ridge Dr, Suite 320, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369
Mr. Ahmed Rauf Qureshi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3998 Fair Ridge Dr, Suite 320, Fairfax, VA 22033 Phone: 703-293-9590 Fax: 703-295-9369
Ms. Christine B Culhane, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369
Mr. Timothy J Rathbun, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369
Ms. Carmen Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369

Tandy Gustin, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fairfax, VA