| 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 | 14 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 |
|---|---|---|
| Northwest Medical Center | Tucson, AZ | Hospital |
| Oro Valley Hospital | Oro valley, AZ | Hospital |
| Banner - University Medical Center Phoenix | Phoenix, AZ | Hospital |
| Watsonville Community Hospital | Watsonville, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Banner - University Hospital Based Physicians Llc | 1052614294 | 349 |
| Central California Anesthesiology Solutions | 7719317213 | 17 |
| Northwest Hbp Medical Services Llc | 8921356536 | 289 |
| Hospitalist Medicine Physicians Of Washington - Tcs | 6800240102 | 213 |
| Entity Name | Northeastern Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487956504 PECOS PAC ID: 4284813940 Enrollment ID: O20110126001051 |
| Entity Name | Greater Anesthesia Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124430244 PECOS PAC ID: 9234357906 Enrollment ID: O20140822000525 |
| Entity Name | Banner - University Hospital Based Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750751566 PECOS PAC ID: 1052614294 Enrollment ID: O20160122000508 |
| Entity Name | Northwest Hbp Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407353006 PECOS PAC ID: 8921356536 Enrollment ID: O20180730001756 |
| Entity Name | Valley Regional Anesthesia Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578272415 PECOS PAC ID: 3870964323 Enrollment ID: O20240521001150 |
| 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 |