Glenn L Tanzman, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Providence, RI

Glenn L Tanzman, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Providence, Rhode Island. He graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Lifespan Physician Group Inc, Southcoast Physicians Group Inc, Umass Memorial Medical Group Inc and his current practice location is 593 Eddy Street, Davol 129, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 444-4933.

Glenn L Tanzman is licensed to practice in Rhode Island (license number RNA36635) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053369173.

Contact Information

Glenn L Tanzman, CRNA
593 Eddy Street, Davol 129,
Providence, RI 02903-4923
(401) 444-4933
(401) 444-5090



Provider's Profile

Full NameGlenn L Tanzman
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience19 Years
Location593 Eddy Street, Providence, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Glenn L Tanzman graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1053369173
  • Provider Enumeration Date: 05/04/2006
  • Last Update Date: 03/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9537179593
  • Enrollment ID: I20060504000645

Medical Identifiers

Medical identifiers for Glenn L Tanzman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053369173NPI-NPPES
1286OtherRIBLUE CROSS
0010803OtherRIBLUE CHIP

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN246965 (Massachusetts)Secondary
367500000XNurse Anesthetist, Certified Registered RNA36635 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Southcoast Hospitals GroupFall river, MAHospital
Rhode Island HospitalProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lifespan Physician Group Inc2567455082631
Southcoast Physicians Group Inc0749171957746
Umass Memorial Medical Group Inc42845398911889

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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. Glenn L Tanzman allows following entities to bill medicare on his behalf.
Entity NameNarragansett Bay Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861445728
PECOS PAC ID: 5991774929
Enrollment ID: O20040928000003

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Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053782466
PECOS PAC ID: 2567455082
Enrollment ID: O20160121000235

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Entity NameMvp Anesthesia Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477507598
PECOS PAC ID: 5799734208
Enrollment ID: O20171010000383

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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. Glenn L Tanzman 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
Glenn L Tanzman, CRNA
One Virginia Avenue, Suite 201,
Providence, RI 02905

Ph: (401) 490-0916
Glenn L Tanzman, CRNA
593 Eddy Street, Davol 129,
Providence, RI 02903-4923

Ph: (401) 444-4933

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Nurse Anesthetist, Certified Registered Nurses in Providence, RI

Brian F Girard, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903
Phone: 401-444-4933    Fax: 401-444-5090
Peter W Wolferseder, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903
Phone: 401-444-4933    Fax: 401-444-5090
Marie A Mills, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903
Phone: 401-444-4933    Fax: 401-444-5090
Beth Vanpraag, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903
Phone: 401-444-4933    Fax: 401-444-5090
Paulette Champion, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy St, Davol 129, Providence, RI 02903
Phone: 401-444-4933    Fax: 401-444-5090
Angela Thomas, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903
Phone: 401-444-4933    Fax: 401-444-5090
Garrick Mark Whitlock, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 825 Chalkstone Ave, Providence, RI 02908
Phone: 401-456-2000    

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