| Tiffany Hines, | |
|
2101 Dubois Dr, Warsaw, IN 46580-3210 | |
| (574) 267-3200 | |
| Not Available |
| Full Name | Tiffany Hines |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 2101 Dubois Dr, Warsaw, Indiana |
| 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 |
|---|---|---|---|
| 1134605488 | NPI | - | NPPES |
| 214881 | Other | IL | MEDICAL GROUP PTAN |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Illinois, Llc | 4688893878 | 318 |
| Entity Name | Southern Illinois Medical Services Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Entity Name | Northstar Anesthesia Of Illinois, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiffany Hines, 5185 Guffin Rd, Bartlett, TN 38135-6189 Ph: (404) 980-6000 | Tiffany Hines, 2101 Dubois Dr, Warsaw, IN 46580-3210 Ph: (574) 267-3200 |
Kathleen Snyder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2251 Dubois Dr, Warsaw, IN 46580 Phone: 574-269-2777 Fax: 574-269-9828 | |
Marilene O Beardslee, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2251 Dubois Dr, Warsaw, IN 46580 Phone: 574-269-2777 | |
Irene Ponce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2251 Dubois Dr, Warsaw, IN 46580 Phone: 574-269-2777 |