Tina Isaac, CRNA | |
101 Bodin Cir, Fairfield, CA 94535-1809 | |
(707) 673-3594 | |
Not Available |
Full Name | Tina Isaac |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 101 Bodin Cir, Fairfield, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841435617 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 5689 (North Carolina) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 9235622 (Florida) | Secondary |
Entity Name | Carolina Anesthesia Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699723791 PECOS PAC ID: 1456251057 Enrollment ID: O20040115000938 |
Entity Name | Duplin General Hospital Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659564433 PECOS PAC ID: 4587575337 Enrollment ID: O20040127000217 |
Entity Name | Carolina Regional Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891072609 PECOS PAC ID: 5496921769 Enrollment ID: O20120109000406 |
Entity Name | Coastal Carolina Sedation Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114544996 PECOS PAC ID: 2961829825 Enrollment ID: O20200824003565 |
Mailing Address | Practice Location Address |
---|---|
Tina Isaac, CRNA 1000 Allison Dr, #102, Vacaville, CA 95687-4975 Ph: (239) 404-4856 | Tina Isaac, CRNA 101 Bodin Cir, Fairfield, CA 94535-1809 Ph: (707) 673-3594 |
Jean-marc Jojo Ndame, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2473 Hancock Dr, Fairfield, CA 94533 Phone: 720-937-1705 | |
Janice Shannon-cain, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Anesthesia Dept, Fairfield, CA 94535 Phone: 510-517-4123 | |
Diane Leslie Layman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 101 Bodin Circle Travis Afb, Fairfield, CA 94535 Phone: 707-423-7948 |