Tyler G Higginson, CRNA | |
710 Riverside Dr, Waupaca, WI 54981-1941 | |
(715) 256-3000 | |
Not Available |
Full Name | Tyler G Higginson |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 18 Years |
Location | 710 Riverside Dr, Waupaca, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992878789 | NPI | - | NPPES |
011417052 | Other | SC | DRIVERS LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R79716 (South Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 3410-33 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Thedacare Medical Center-waupaca | Waupaca, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Association Of Hospital Anesthesiologists Sc | 3476539875 | 72 |
Entity Name | Thedacare Medical Center - Shawano, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548260839 PECOS PAC ID: 5890605836 Enrollment ID: O20031117000117 |
Entity Name | Thedacare Medical Center - Berlin Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760413777 PECOS PAC ID: 0446151666 Enrollment ID: O20040120000214 |
Entity Name | Thedacare Medical Center - New London, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538127220 PECOS PAC ID: 5698664480 Enrollment ID: O20040311000254 |
Entity Name | Association Of Hospital Anesthesiologists Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720076474 PECOS PAC ID: 3476539875 Enrollment ID: O20050719001050 |
Mailing Address | Practice Location Address |
---|---|
Tyler G Higginson, CRNA 2109b E Capitol Dr Ste 1, Appleton, WI 54911-8726 Ph: (920) 202-3371 | Tyler G Higginson, CRNA 710 Riverside Dr, Waupaca, WI 54981-1941 Ph: (715) 256-3000 |