Dionne Michelle Tyree, CRNA | |
200 Medical Park Blvd, Petersburg, VA 23805 | |
(804) 765-5000 | |
Not Available |
Full Name | Dionne Michelle Tyree |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 200 Medical Park Blvd, Petersburg, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427389709 | NPI | - | NPPES |
1427389709 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 0001138871 (Virginia) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 0024168660 (Virginia) | Primary |
Entity Name | North American Partners In Anesthesia (virginia), Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922031442 PECOS PAC ID: 9931192739 Enrollment ID: O20041217000009 |
Entity Name | American Anesthesiology Of Virginia Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606 |
Entity Name | Greensboro Anesthesia Specialists Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073772612 PECOS PAC ID: 8729129226 Enrollment ID: O20100106000273 |
Mailing Address | Practice Location Address |
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Dionne Michelle Tyree, CRNA 3998 Fair Ridge Dr, Suite 300, Fairfax, VI 22033-2921 Ph: (703) 295-9360 | Dionne Michelle Tyree, CRNA 200 Medical Park Blvd, Petersburg, VA 23805 Ph: (804) 765-5000 |
Jack Lee Suddreth, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 801 S Adams St, Petersburg, VA 23808 Phone: 804-862-5000 Fax: 804-862-5948 | |
Maribel K Abenir, CRNA-NP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Southside Regional Medical Center, Petersburg, VA 23805 Phone: 804-765-5000 Fax: 804-765-6250 | |
Ann Wade Sublette, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 801 S Adams St, Petersburg, VA 23803 Phone: 804-862-5000 Fax: 804-862-5948 | |
Edde Karen Springer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5060 | |
Irene Mai Ratliff, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5000 | |
Kendria Sherrill Frasier, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 703-295-9360 | |
Heather Day, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-288-4453 Fax: 804-288-1621 |