| Tyler James Bagley, CRNA | |
|
661 W Via De Palmas, San Tan Valley, AZ 85140-7381 | |
| (530) 868-7509 | |
| Not Available |
| Full Name | Tyler James Bagley |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 661 W Via De Palmas, San Tan Valley, Arizona |
| 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 |
|---|---|---|---|
| 1447590401 | NPI | - | NPPES |
| 249724 | Other | AZ | ARIZONA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 95000079 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 249724 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Vincent Medical Center | Portland, OR | Hospital |
| Northwest Medical Center | Tucson, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central California Anesthesiology Solutions | 7719317213 | 26 |
| Northwest Hbp Medical Services Llc | 8921356536 | 236 |
| Hospitalist Medicine Physicians Of Washington - Tcs | 6800240102 | 187 |
| Entity Name | Orohealth Corporation A Non Profit Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013933167 PECOS PAC ID: 4082501192 Enrollment ID: O20040325001703 |
| Entity Name | Central California Anesthesiology Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861020224 PECOS PAC ID: 7719317213 Enrollment ID: O20200424000764 |
| Entity Name | Seven Star Hospital Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043813140 PECOS PAC ID: 4789083338 Enrollment ID: O20210601002852 |
| Entity Name | Lifelinc Anesthesia Vi Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487221628 PECOS PAC ID: 0749688000 Enrollment ID: O20211018001772 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyler James Bagley, CRNA 661 W Via De Palmas, San Tan Valley, AZ 85140-7381 Ph: (530) 868-7509 | Tyler James Bagley, CRNA 661 W Via De Palmas, San Tan Valley, AZ 85140-7381 Ph: (530) 868-7509 |