Mr Mark A Sudimak, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Kent, Ohio. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Dayton Anesthesia And Pain Services Llc and his current practice location is
4591 Creekside Dr, Kent, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 524-9937.
Mr Mark A Sudimak is licensed to practice in Ohio (license number 019368) 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 1174075196.
Provider's Profile
| Full Name | Mr Mark A Sudimak |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 8 Years |
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| Location | 4591 Creekside Dr, Kent, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Mark A Sudimak graduated from nursing school in 2016
NPI Data:
- NPI Number: 1174075196
- Provider Enumeration Date: 10/25/2016
- Last Update Date: 08/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 6507146214
- Enrollment ID: I20161214001414
Medical Identifiers
Medical identifiers for Mr Mark A Sudimak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174075196 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 357443 (Ohio) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 019368 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Dayton Anesthesia And Pain Services Llc | 8022245372 | 199 |
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. Mr Mark A Sudimak allows following entities to bill medicare on his behalf.
| Entity Name | Dayton Anesthesia & Pain Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629401898
PECOS PAC ID: 8022245372
Enrollment ID: O20131212001655 |
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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. Mr Mark A Sudimak 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 Address | Practice Location Address |
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Mr Mark A Sudimak, CRNA
2313 S Hametown Rd,
Copley, OH 44321-2454
Ph: (330) 524-9937 | Mr Mark A Sudimak, CRNA
4591 Creekside Dr,
Kent, OH 44240-7376
Ph: (330) 524-9937 |
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