Dr Mark Allen Stacy, DO | |
3630 Guion Rd, Indianapolis, IN 46222-1616 | |
(317) 920-7280 | |
(317) 920-7284 |
Full Name | Dr Mark Allen Stacy |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 16 Years |
Location | 3630 Guion Rd, Indianapolis, Indiana |
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 |
---|---|---|---|
1922322486 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 11015131A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Luke's Nampa Medical Center | Nampa, ID | Hospital |
St Luke's Regional Medical Center | Boise, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Associates Of Boise, P.a. | 2668385287 | 156 |
Entity Name | Anesthesia Associates Of Boise, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033147467 PECOS PAC ID: 2668385287 Enrollment ID: O20031110000655 |
Entity Name | Anesthesiology Consultants Of Idaho Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093703340 PECOS PAC ID: 5193742625 Enrollment ID: O20051025000059 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark Allen Stacy, DO 3630 Guion Rd, Indianapolis, IN 46222-1616 Ph: (317) 920-7280 | Dr Mark Allen Stacy, DO 3630 Guion Rd, Indianapolis, IN 46222-1616 Ph: (317) 920-7280 |
Thomas M Donahue, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-577-4200 Fax: 317-577-9503 | |
John Thomas Gripe, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1801 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-577-4200 | |
Karen L. Bumb, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1701 Senate Blvd, Indianapolis, IN 46202 Phone: 317-567-2180 Fax: 317-567-2191 | |
Christian N Beaton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-567-2179 Fax: 317-567-2191 | |
Erin S Murphy, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Ave, Indianapolis, IN 46202 Phone: 317-567-2179 Fax: 317-567-2191 | |
Jane Gunsenhouser, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2001 W 86th St, Indianapolis, IN 46260 Phone: 317-567-2180 Fax: 317-567-2191 | |
Makoto Kataoka, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1701 N Senate Blvd, Indianapolis, IN 46202 Phone: 317-577-4200 |