Ms Tangela Fuqua, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Plainfield, Illinois. She graduated from nursing school in 2003 and has 21 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Anesthesia Dynamics Llc and her current practice location is
14509 Capital Drive, Plainfield, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 690-5946.
Ms Tangela Fuqua is licensed to practice in Virginia (license number 0024174710) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568427094.
Provider's Profile
| Full Name | Ms Tangela Fuqua |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 21 Years |
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| Location | 14509 Capital Drive, Plainfield, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Tangela Fuqua graduated from nursing school in 2003
NPI Data:
- NPI Number: 1568427094
- Provider Enumeration Date: 04/18/2006
- Last Update Date: 11/26/2019
Medicare PECOS Information:
- PECOS PAC ID: 1456315985
- Enrollment ID: I20090424000081
Medical Identifiers
Medical identifiers for Ms Tangela Fuqua such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568427094 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 041291415 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | R190737 (Maryland) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024174710 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Anesthesia Dynamics Llc | 3779832530 | 379 |
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. Ms Tangela Fuqua allows following entities to bill medicare on her behalf.
| Entity Name | Anesthesia Dynamics Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20191011000052 |
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| Entity Name | Redreef Anesthesia Associates Chartered Indiana Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215783766
PECOS PAC ID: 7012459647
Enrollment ID: O20240611000371 |
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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. Ms Tangela Fuqua 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 |
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Ms Tangela Fuqua, CRNA
14509 Capital Dr,
Plainfield, IL 60544-4415
Ph: () - | Ms Tangela Fuqua, CRNA
14509 Capital Drive,
Plainfield, IL 60544-4415
Ph: (815) 690-5946 |
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