Mark Colli Smith, | |
759 Chestnut St, Springfield, MA 01199-1001 | |
(413) 795-0754 | |
Not Available |
Full Name | Mark Colli Smith |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 3 Years |
Location | 759 Chestnut St, Springfield, Massachusetts |
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 |
---|---|---|---|
1780340406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | 701453 (New York) | Secondary |
163W00000X | Registered Nurse | RN2337702 (Massachusetts) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baystate Medical Center | Springfield, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Springfield Anesthesia Service Inc | 0345228011 | 86 |
Entity Name | Springfield Anesthesia Service Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093768830 PECOS PAC ID: 0345228011 Enrollment ID: O20040709000365 |
Mailing Address | Practice Location Address |
---|---|
Mark Colli Smith, 308 Reserve Ct, Glenville, NY 12302-3534 Ph: (860) 480-9142 | Mark Colli Smith, 759 Chestnut St, Springfield, MA 01199-1001 Ph: (413) 795-0754 |
Karen Ross, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 417 Liberty St, Springfield, MA 01104 Phone: 413-747-0705 Fax: 413-732-7075 | |
Ashley Marie Graveline, FNP-BC Registered Nurse Medicare: Medicare Enrolled Practice Location: 300 Stafford St, Springfield, MA 01104 Phone: 413-748-7095 Fax: 413-732-0225 | |
Noel Nguyen, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5 Valentine St, Springfield, MA 01108 Phone: 413-237-2396 | |
Karina Kovalevich, RN, BSN, MSN, FNP-BC Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1049 Main St, Springfield, MA 01103 Phone: 413-739-1100 | |
Jennifer Lynn Burkott, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 471 Chestnut St, Springfield, MA 01107 Phone: 413-733-1431 | |
Abena Amankwah, NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 395 Liberty St, Springfield, MA 01104 Phone: 413-302-4654 | |
Hillary Leedy, MSN, RN, PMHNP-BC Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 110 Maple St, Springfield, MA 01105 Phone: 413-732-7419 |