Tisha C Gordon, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in American Fork, UT

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Tisha C Gordon, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in American Fork, Utah. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Nph Anesthesia Of Utah Llc and her current practice location is 170 N 1100 E, American Fork, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 763-3300.

Tisha C Gordon is licensed to practice in Utah (license number 354490-4406) 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 1720310253.

Contact Information

Tisha C Gordon, CRNA
170 N 1100 E,
American Fork, UT 84003-2096
(801) 763-3300
(801) 432-2668

Map and Direction




Provider's Profile

Full NameTisha C Gordon
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience15 Years
Location170 N 1100 E, American Fork, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tisha C Gordon graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1720310253
  • Provider Enumeration Date: 02/09/2010
  • Last Update Date: 02/09/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 7618002767
  • Enrollment ID: I20100316000110

Medical Identifiers

Medical identifiers for Tisha C Gordon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720310253NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 354490-4406 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
American Fork HospitalAmerican fork, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nph Anesthesia Of Utah Llc953758431394

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. Tisha C Gordon allows following entities to bill medicare on her behalf.
Entity NameLone Peak Anesthesia Lc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083622641
PECOS PAC ID: 9436057346
Enrollment ID: O20031229000973
Entity NameRocky Mountain Anesthesiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487683215
PECOS PAC ID: 6305809492
Enrollment ID: O20041109001170
Entity NameNorth Valley Anesthesia, Lc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780908152
PECOS PAC ID: 9133315252
Enrollment ID: O20101201000020
Entity NameNph Anesthesia Of Utah Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366077273
PECOS PAC ID: 9537584313
Enrollment ID: O20200811001268

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. Tisha C 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 AddressPractice Location Address
Tisha C Gordon, CRNA
10150 Centennial Pkwy, Suite 230,
Sandy, UT 84070-4103

Ph: (801) 432-2600		Tisha C Gordon, CRNA
170 N 1100 E,
American Fork, UT 84003-2096

Ph: (801) 763-3300

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in American Fork, UT

Kevin K Hair, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1014 E 220 N, American Fork, UT 84003
Phone: 801-763-5461    
Preston Peterson Bird, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 170 N 1100 E, American Fork, UT 84003
Phone: 801-492-1611    
Mr. Michael Ryan Blaney, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 170 N 1100 E, American Fork, UT 84003
Phone: 801-357-8818    
Mrs. Vanessa Passanante, RN, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 170 N 1100 E, American Fork, UT 84003
Phone: 801-855-3267    Fax: 801-855-3251
Graham Brent Prime, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 170 N 1100 E, American Fork, UT 84003
Phone: 801-763-3300    
Daniel William Bunker, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1159 E 200 N, #100, American Fork, UT 84003
Phone: 801-855-3372    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.