| Amanda Diane Mork, DNAP | |
|
2720 Stone Park Blvd, Sioux City, IA 51104-3734 | |
| (712) 279-3500 | |
| Not Available |
| Full Name | Amanda Diane Mork |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 2720 Stone Park Blvd, Sioux City, Iowa |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558092817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | D169326 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Regional Medical Center | Sioux city, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Consultants Pc | 6103716626 | 19 |
| Entity Name | Anesthesia Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497854574 PECOS PAC ID: 6103716626 Enrollment ID: O20040318000486 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Diane Mork, DNAP 2125 S Silverthorne Ave Apt 304, Sioux Falls, SD 57110-7695 Ph: (605) 838-5870 | Amanda Diane Mork, DNAP 2720 Stone Park Blvd, Sioux City, IA 51104-3734 Ph: (712) 279-3500 |
Lance D Breit, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104 Phone: 712-255-2324 | |
Robert Baczwaski, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104 Phone: 712-255-2324 | |
Raichatou Ann Jackson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104 Phone: 712-279-3500 | |
Patrick Menke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104 Phone: 712-279-3500 | |
Deborah Carter, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 801 5th St, Sioux City, IA 51101 Phone: 712-279-2505 | |
Dr. Jared Gregory Feiner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104 Phone: 712-279-3500 | |
Mr. Robert A Schoenfelder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2720 Stone Park Blvd, Sioux City, IA 51104 Phone: 712-279-3290 |