| Tiffany Jean Vajda, CRNA | |
|
701 W North Ave, Melrose Park, IL 60160-1612 | |
| (708) 681-3200 | |
| Not Available |
| Full Name | Tiffany Jean Vajda |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 18 Years |
| Location | 701 W North Ave, Melrose Park, Illinois |
| 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 |
|---|---|---|---|
| 1376789313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209007429 (Illinois) | Primary |
| 163W00000X | Registered Nurse | 041334424 (Illinois) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gottlieb Midwest Anesthesiologists, Llc | 8123929940 | 43 |
| Entity Name | Gottlieb Midwest Anesthesiologists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003832767 PECOS PAC ID: 8123929940 Enrollment ID: O20040115000619 |
| Entity Name | Midwest Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255380184 PECOS PAC ID: 6204737596 Enrollment ID: O20040120000034 |
| 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 Jean Vajda, CRNA 1121 Lake Cook Rd Ste M, Deerfield, IL 60015-5234 Ph: () - | Tiffany Jean Vajda, CRNA 701 W North Ave, Melrose Park, IL 60160-1612 Ph: (708) 681-3200 |
Andrew M Christ, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Arshnoor Aslam Qamaruddin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Dana Marie Macaluso, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Samuel Ortega, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Andrew Reichard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Anoop Banathia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2912 Marion Ave, Melrose Park, IL 60164 Phone: 847-260-5115 |