Kevin Tatum, RN | |
115 Mall Dr, Hanford, CA 93230-5786 | |
(559) 582-9000 | |
Not Available |
Full Name | Kevin Tatum |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 5 Years |
Location | 115 Mall Dr, Hanford, California |
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 |
---|---|---|---|
1285293969 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 95045187 (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 95001171 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fresno Surgical Hospital | Fresno, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Omni Anesthesia Associates Inc | 4385638303 | 7 |
Central California Anesthesiology Solutions | 7719317213 | 30 |
Anesthesia Consultants Of Fresno | 8527967082 | 55 |
Entity Name | Anesthesia Consultants Of Fresno |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124058177 PECOS PAC ID: 8527967082 Enrollment ID: O20040102000852 |
Entity Name | Omni Anesthesia Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720038839 PECOS PAC ID: 4385638303 Enrollment ID: O20040413000584 |
Entity Name | Paramount Anesthesia Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598901308 PECOS PAC ID: 1850458829 Enrollment ID: O20090318000245 |
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 |
Mailing Address | Practice Location Address |
---|---|
Kevin Tatum, RN 6673 E Cornell Ave, Fresno, CA 93727-1431 Ph: (559) 577-7872 | Kevin Tatum, RN 115 Mall Dr, Hanford, CA 93230-5786 Ph: (559) 582-9000 |
Shawn Harris, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 255 W Harold Griswold Way, Hanford, CA 93230 Phone: 559-381-5004 | |
Mrs. Michelle Marie Mertens, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 Mall Dr, Hanford, CA 93230 Phone: 559-582-9000 | |
Carl Eric Galeon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 Mall Dr, Hanford, CA 93230 Phone: 559-582-9000 | |
Michael P O'hara, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 450 Greenfield Ave, Hanford, CA 93230 Phone: 559-582-9000 | |
Mr. Thomas Phillip Matula, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 450 Greenfield Avenue, Hanford, CA 93230 Phone: 559-582-9000 | |
Alexis Alfaro, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 115 Mall Dr, Hanford, CA 93230 Phone: 480-280-0300 | |
Anissa Joan Gerber, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 450 Greenfield Avenue, Hanford, CA 93230 Phone: 559-582-9000 |