Miss Tina T Gordon, CRNA in Spokane, WA - Medicare Certified Registered Nurse Anesthetist (crna)

Miss Tina T Gordon, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Spokane, Washington. She graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Providence Health And Service- Washington, Dreamtime Anesthesia Llc and her current practice location is 104 W 5th Ave, Suite 205e, Spokane, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 939-9722.

Miss Tina T Gordon is licensed to practice in Washington (license number RN00106322) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1497782528.

Contact Information

	Miss Tina T Gordon, CRNA
	104 W 5th Ave, Suite 205e, Spokane, WA 99204-4880
	(509) 939-9722
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Tina T Gordon
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	26 Years
Location	104 W 5th Ave, Spokane, Washington
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Miss Tina T Gordon graduated from nursing school in 1998

NPI Data:

NPI Number: 1497782528
Provider Enumeration Date: 06/26/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3375560097
Enrollment ID: I20051101000301

Medical Identifiers

Medical identifiers for Miss Tina T Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497782528	NPI	-	NPPES
9624115	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN00106322 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Prov Sacred Hrt Med Ctr & Childs Hosp.	Spokane, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Service- Washington	0840279758	156
Dreamtime Anesthesia Llc	9537531082	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Miss Tina T Gordon allows following entities to bill medicare on her behalf.

Entity Name	Yakima Valley Memorial Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306933940 PECOS PAC ID: 1557391596 Enrollment ID: O20050818000714

Entity Name	Providence Health & Service- Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508118555 PECOS PAC ID: 0840279758 Enrollment ID: O20090717000201

Entity Name	Rest Assured Anesthesia, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154778553 PECOS PAC ID: 7810242807 Enrollment ID: O20180614002412

Entity Name	Dreamtime Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275251456 PECOS PAC ID: 9537531082 Enrollment ID: O20230516003260

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Tina T Gordon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Miss Tina T Gordon, CRNA Po Box 8626, Spokane, WA 99203-0626 Ph: (509) 939-9722	Miss Tina T Gordon, CRNA 104 W 5th Ave, Suite 205e, Spokane, WA 99204-4880 Ph: (509) 939-9722

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Spokane, WA

Chelsea Posenjak, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-3131
Leah Nicole Triulzi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 W 5th Ave, Spokane, WA 99204 Phone: 509-473-5800
Amber George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-3181 Fax: 509-227-7070
Miss Diana Marie Bouge, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-3131
Douglas G Demmert, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 842 S Cowley St, Ste 3, Spokane, WA 99202 Phone: 509-939-3483 Fax: 509-228-9542
Krista Hillary Baca, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 104 W 5th Ave, Suite 250e, Spokane, WA 99204 Phone: 509-838-1547 Fax: 509-835-4058
Mrs. Karli Meehan, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 W 5th Ave, Spokane, WA 99204 Phone: 509-458-5800

Miss Tina T Gordon, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Spokane, WA