Ella Tisdale, CRNA | |
4070 Highway 17, Murrells Inlet, SC 29576-5033 | |
(843) 652-1000 | |
Not Available |
Full Name | Ella Tisdale |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 4070 Highway 17, Murrells Inlet, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1568228393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 28445 (South Carolina) | Primary |
Entity Name | Medstream Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001021 |
Mailing Address | Practice Location Address |
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Ella Tisdale, CRNA 4070 Highway 17, Murrells Inlet, SC 29576-5033 Ph: () - | Ella Tisdale, CRNA 4070 Highway 17, Murrells Inlet, SC 29576-5033 Ph: (843) 652-1000 |
James David Forrest, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 747 Woody Point Dr, Murrells Inlet, SC 29576 Phone: 843-359-9749 | |
Mr. Jefferson Krawulski Souza, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4070 Us-17 Bus, Murrells Inlet, SC 29576 Phone: 843-652-1000 | |
Chloe Urig Bond, DNAP, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4070 Highway 17, Murrells Inlet, SC 29576 Phone: 843-652-1000 | |
Chester Homicki, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4070 Highway 17, Murrells Inlet, Murrells Inlet, SC 29576 Phone: 843-652-1000 | |
Sandra D Shelley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3911 Highway 17 # B, Murrells Inlet, SC 29576 Phone: 843-651-8211 | |
Richard E Miller, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3911 B Hwy 17, Murrells Inlet, SC 29576 Phone: 843-669-5162 Fax: 843-667-4573 |