Mark Antonio, CRNA | |
746 Jefferson Ave, Scranton, PA 18510-1624 | |
(570) 346-7797 | |
(570) 342-9802 |
Full Name | Mark Antonio |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 37 Years |
Location | 746 Jefferson Ave, Scranton, Pennsylvania |
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 |
---|---|---|---|
1093798886 | NPI | - | NPPES |
430014717 | Other | PA | RR MEDICARE |
011551VKC | Other | PA | MEDICARE (NOVITAS) |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 39894 (Pennsylvania) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Geisinger-community Medical Center | Scranton, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Geisinger Clinic | 5395657001 | 2841 |
Entity Name | Geisinger Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Entity Name | Gastrointestinal Consultants Of Nepa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912905605 PECOS PAC ID: 4183518269 Enrollment ID: O20040210000668 |
Entity Name | North American Partners In Anesthesia, Pennsylvania , Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639137854 PECOS PAC ID: 7517960834 Enrollment ID: O20060807000040 |
Entity Name | Capital Anesthesia Solutions Of Philadelphia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407402365 PECOS PAC ID: 5597197046 Enrollment ID: O20191121001321 |
Mailing Address | Practice Location Address |
---|---|
Mark Antonio, CRNA 3998 Fair Ridge Dr, Suite 300, Fairfax, VA 22033-2921 Ph: (703) 295-9360 | Mark Antonio, CRNA 746 Jefferson Ave, Scranton, PA 18510-1624 Ph: (570) 346-7797 |
Andrea B Stachnick, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 746 Jefferson Ave, Scranton, PA 18510 Phone: 570-348-7127 Fax: 570-340-4911 | |
Kaylene Sutkowski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-8000 | |
Christopher Pisanchyn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St., Scranton, PA 18510 Phone: 570-703-8259 | |
Alexander Keris, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 Quincy Ave, Scranton, PA 18510 Phone: 570-340-2977 | |
Miss Stephanie Stivala, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-969-8000 | |
Kevin Chernesky, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-346-7797 Fax: 570-342-9802 |