Mrs Tiffany Kudlawiec, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Galloway, Ohio. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Premier Anesthesia Of Ohio Llc and her current practice location is
1059 Drayson Dr, Galloway, Ohio. You can reach out to her office (for appointments etc.) via phone at
(724) 554-9551.
Mrs Tiffany Kudlawiec is licensed to practice in North Carolina (license number 252791) 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 1023493053.
Provider's Profile
| Full Name | Mrs Tiffany Kudlawiec |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 9 Years |
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| Location | 1059 Drayson Dr, Galloway, Ohio |
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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:
- Mrs Tiffany Kudlawiec graduated from nursing school in 2015
NPI Data:
- NPI Number: 1023493053
- Provider Enumeration Date: 07/20/2015
- Last Update Date: 05/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 6406165489
- Enrollment ID: I20151013001565
Medical Identifiers
Medical identifiers for Mrs Tiffany Kudlawiec such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023493053 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | APRN.CRNA.18197 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 252791 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Premier Anesthesia Of Ohio Llc | 3779714258 | 79 |
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. Mrs Tiffany Kudlawiec allows following entities to bill medicare on her behalf.
| Entity Name | Premier Anesthesia Of Ohio Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699196022
PECOS PAC ID: 3779714258
Enrollment ID: O20140326001267 |
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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. Mrs Tiffany Kudlawiec 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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Mrs Tiffany Kudlawiec, CRNA
1059 Drayson Dr,
Galloway, OH 43119-8298
Ph: (724) 554-9551 | Mrs Tiffany Kudlawiec, CRNA
1059 Drayson Dr,
Galloway, OH 43119-8298
Ph: (724) 554-9551 |
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