Dr Gregg Tidrick, DNP | |
2000 E Southern Ave Ste 102, Tempe, AZ 85282-7510 | |
(480) 820-9141 | |
Not Available |
Full Name | Dr Gregg Tidrick |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 5 Years |
Location | 2000 E Southern Ave Ste 102, Tempe, 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 |
---|---|---|---|
1841856598 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 227355 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Banner Desert Medical Center | Mesa, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Partners Of Arizona Llc | 8628317179 | 184 |
Entity Name | Anesthesia Partners Of Arizona Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619452901 PECOS PAC ID: 8628317179 Enrollment ID: O20190228001927 |
Entity Name | Comprehensive Anesthesia Services Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205561917 PECOS PAC ID: 3577947423 Enrollment ID: O20220826001691 |
Mailing Address | Practice Location Address |
---|---|
Dr Gregg Tidrick, DNP 2688 E Santa Rosa Dr, Gilbert, AZ 85234-1487 Ph: (602) 919-7226 | Dr Gregg Tidrick, DNP 2000 E Southern Ave Ste 102, Tempe, AZ 85282-7510 Ph: (480) 820-9141 |
Mr. Charles David Laine, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1500 S Mill Ave, Tempe, AZ 85281 Phone: 480-784-5500 | |
Nicholas Moore, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Mill Ave, Tempe, AZ 85281 Phone: 480-784-5500 | |
Landon Craig Hitchcock, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Mill Ave, Tempe, AZ 85281 Phone: 435-660-9736 | |
John Durkin, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 E Southern Ave Ste 105, Tempe, AZ 85282 Phone: 480-820-9141 | |
Angela L Fountain, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6433 S Clark Dr, Tempe, AZ 85283 Phone: 480-414-1295 | |
Mrs. Bridget Nester Petrillo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Mill Ave, Tempe, AZ 85281 Phone: 480-784-5500 Fax: 203-865-2983 | |
Mr. Mazi Darrell Condelee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 S Mill Ave, Tempe, AZ 85281 Phone: 480-784-5500 |