Tyler James Bagley, CRNA | |
661 W Via De Palmas, San Tan Valley, AZ 85140-7381 | |
(530) 868-7509 | |
Not Available |
Full Name | Tyler James Bagley |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 12 Years |
Location | 661 W Via De Palmas, San Tan Valley, Arizona |
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 |
---|---|---|---|
1447590401 | NPI | - | NPPES |
249724 | Other | AZ | ARIZONA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 95000079 (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 249724 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hazel Hawkins Memorial Hospital | Hollister, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central California Anesthesiology Solutions | 7719317213 | 30 |
Banner - University Hospital Based Physicians Llc | 1052614294 | 255 |
Entity Name | Orohealth Corporation A Non Profit Healthcare System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013933167 PECOS PAC ID: 4082501192 Enrollment ID: O20040325001703 |
Entity Name | Central California Anesthesiology Solutions |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861020224 PECOS PAC ID: 7719317213 Enrollment ID: O20200424000764 |
Entity Name | Seven Star Hospital Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043813140 PECOS PAC ID: 4789083338 Enrollment ID: O20210601002852 |
Entity Name | Lifelinc Anesthesia Vi Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487221628 PECOS PAC ID: 0749688000 Enrollment ID: O20211018001772 |
Mailing Address | Practice Location Address |
---|---|
Tyler James Bagley, CRNA 661 W Via De Palmas, San Tan Valley, AZ 85140-7381 Ph: (530) 868-7509 | Tyler James Bagley, CRNA 661 W Via De Palmas, San Tan Valley, AZ 85140-7381 Ph: (530) 868-7509 |