Mark Alan Pendleton, | |
777 Hospital Way, Pocatello, ID 83201-5175 | |
(082) 391-0562 | |
(208) 239-3626 |
Full Name | Mark Alan Pendleton |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 4 Years |
Location | 777 Hospital Way, Pocatello, Idaho |
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 |
---|---|---|---|
1316570757 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 130808 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Madison Memorial Hospital | Rexburg, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Madison Anesthesia Services Pa | 9739174152 | 10 |
Entity Name | Madison Anesthesia Services Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558392571 PECOS PAC ID: 9739174152 Enrollment ID: O20040415001317 |
Entity Name | Sei Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750701199 PECOS PAC ID: 4183849979 Enrollment ID: O20140711000736 |
Mailing Address | Practice Location Address |
---|---|
Mark Alan Pendleton, Po Box 558, Rigby, ID 83442-0558 Ph: (307) 248-0283 | Mark Alan Pendleton, 777 Hospital Way, Pocatello, ID 83201-5175 Ph: (082) 391-0562 |
Mr. Timothy Morgan Naylor, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 285 Vista Dr, Pocatello, ID 83201 Phone: 208-478-1704 | |
Nicholas Stoddard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-232-7760 Fax: 208-232-1950 | |
Jamie Leigh Cassinat, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-209-1000 | |
Eric Michael Stradley, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000 | |
Richard Aaron Marler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 N 18th Ave, Bldg A, Pocatello, ID 83201 Phone: 208-233-8880 Fax: 208-232-1950 | |
Mr. Kenneth Michael Knapp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 N 18th Ave Ste A, Pocatello, ID 83201 Phone: 208-232-7760 Fax: 208-232-1950 |