Tia S Hodge, CRNA in Phoenix, AZ - Medicare Certified Registered Nurse Anesthetist (crna)

Tia S Hodge, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Phoenix, Arizona. She graduated from nursing school in 2005 and has 20 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Smg Anesthesia Specialists Llc, Medstream Anesthesia Pllc and her current practice location is 2601 E Roosevelt St, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 344-5039.

Tia S Hodge is licensed to practice in South Carolina (license number APRN2643) 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 1972569796.

Contact Information

	Tia S Hodge, CRNA
	2601 E Roosevelt St, Phoenix, AZ 85008-4973
	(602) 344-5039
	(602) 344-0779

Map and Direction

Provider's Profile

Full Name	Tia S Hodge
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	20 Years
Location	2601 E Roosevelt St, Phoenix, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tia S Hodge graduated from nursing school in 2005

NPI Data:

NPI Number: 1972569796
Provider Enumeration Date: 04/21/2006
Last Update Date: 11/17/2025

Medicare PECOS Information:

PECOS PAC ID: 6507884798
Enrollment ID: I20250313002652

Medical Identifiers

Medical identifiers for Tia S Hodge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972569796	NPI	-	NPPES
AN1442	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	0024170314 (Virginia)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	APRN2643 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fauquier Hospital	Warrenton, VA	Hospital
Sentara Northern Virginia Medical Center	Woodbridge, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Smg Anesthesia Specialists Llc	6305081118	235
Medstream Anesthesia Pllc	7416198049	515

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. Tia S Hodge allows following entities to bill medicare on her behalf.

Entity Name	Smg Anesthesia Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518205004 PECOS PAC ID: 6305081118 Enrollment ID: O20130327000494

Entity Name	Medstream Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20130724000770

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: O20221205003063

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. Tia S Hodge 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
Tia S Hodge, CRNA 2929 E Thomas Rd, Phoenix, AZ 85016-8034 Ph: (602) 470-5000	Tia S Hodge, CRNA 2601 E Roosevelt St, Phoenix, AZ 85008-4973 Ph: (602) 344-5039

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Phoenix, AZ

Jenny Mcdonald, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1200
Rufus Lee Casey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1637
Maria M Valentin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1200
Michelle Minta, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4441 E Mcdowell Rd, Ste 101, Phoenix, AZ 85008 Phone: 602-273-6770 Fax: 602-889-0489
Jeanmarie Altieri, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 645 E Missouri Ave Ste 300, Phoenix, AZ 85012 Phone: 602-262-8900 Fax: 602-262-8890
Richard Warren Busby, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 Fax: 480-301-4988
Mr. Daniel Patrick Harmeyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5039

Tia S Hodge, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Phoenix, AZ