| Tanner J Hulin, CRNA | |
|
1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | |
| (317) 577-4200 | |
| (317) 577-4200 |
| Full Name | Tanner J Hulin |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 1111 Ronald Reagan Pkwy, Avon, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356097026 | NPI | - | NPPES |
| 1356097026 | Other | IN | ANTHEM PTAN |
| 300072549 | Medicaid | IN | |
| 1102856015 | Other | IN | ANTHEM PTAN |
| Q00821481 | Other | IN | RAILROAD PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 271100 (Arizona) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 28223276A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health Arnett Hospital | Lafayette, IN | Hospital |
| Iu Health West Hospital | Avon, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Arnett Clinic, Llc | 0749184380 | 412 |
| Indiana University Health Care Associates Inc | 5799755864 | 914 |
| Entity Name | Arnett Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
| Entity Name | Iu Anesthesiology Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285684407 PECOS PAC ID: 5395730303 Enrollment ID: O20040419001228 |
| Entity Name | Indiana University Health Care Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
| Entity Name | Iu Health Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326893777 PECOS PAC ID: 9638617913 Enrollment ID: O20240817000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Tanner J Hulin, CRNA 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Tanner J Hulin, CRNA 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 Ph: (317) 577-4200 |
Casey N Randolph, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy, Avon, IN 46123 Phone: 317-577-4200 Fax: 317-577-9503 | |
Steven G Wilson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1111 Ronald Reagan Pkwy, Avon, IN 46123 Phone: 317-577-4200 Fax: 317-577-4200 |