Tonya M Pease, CRNA | |
5401 Old Court Rd, Randallstown, MD 21133-5103 | |
(410) 496-7572 | |
Not Available |
Full Name | Tonya M Pease |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 5401 Old Court Rd, Randallstown, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023231396 | NPI | - | NPPES |
412846000 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R152221 (Maryland) | Primary |
Entity Name | Lifebridge Community Gastroenterology Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033558416 PECOS PAC ID: 7618108119 Enrollment ID: O20140326001773 |
Mailing Address | Practice Location Address |
---|---|
Tonya M Pease, CRNA 1838 Greene Tree Rd Ste 180, Pikesville, MD 21208-7100 Ph: (410) 602-7782 | Tonya M Pease, CRNA 5401 Old Court Rd, Randallstown, MD 21133-5103 Ph: (410) 496-7572 |
Mrs. Jessica Audrey Webster Medalis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-701-4547 Fax: 410-701-4342 | |
Verna Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200 | |
Shannon Quinn Hagan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-701-4547 Fax: 410-701-4342 | |
Sucheep Piyasirisilp, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200 | |
Elizabeth J Iannazzo, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-496-7154 | |
Kaia Finney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5401 Old Court Rd, Randallstown, MD 21133 Phone: 410-521-2200 |