| Tina Renee Isaac, CRNA, DNAP | |
|
101 Bodin Cir, Fairfield, CA 94535-1809 | |
| (707) 673-3594 | |
| Not Available |
| Full Name | Tina Renee Isaac |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 101 Bodin Cir, Fairfield, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841435617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 9235622 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 5689 (North Carolina) | Primary |
| Entity Name | Carolina Anesthesia Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699723791 PECOS PAC ID: 1456251057 Enrollment ID: O20040115000938 |
| Entity Name | Carolina Regional Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891072609 PECOS PAC ID: 5496921769 Enrollment ID: O20120109000406 |
| Entity Name | Coastal Carolina Sedation Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114544996 PECOS PAC ID: 2961829825 Enrollment ID: O20200824003565 |
| Mailing Address | Practice Location Address |
|---|---|
| Tina Renee Isaac, CRNA, DNAP 1000 Allison Dr, #102, Vacaville, CA 95687-4975 Ph: (239) 404-4856 | Tina Renee Isaac, CRNA, DNAP 101 Bodin Cir, Fairfield, CA 94535-1809 Ph: (707) 673-3594 |
Janice Shannon-cain, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Anesthesia Dept, Fairfield, CA 94535 Phone: 510-517-4123 | |
Dr. Manminder Singh Johal, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Fairfield, CA 94535 Phone: 707-423-5005 | |
Diane Leslie Layman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 Bodin Circle Travis Afb, Fairfield, CA 94535 Phone: 707-423-7948 |