Mark D Banderman, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Kansas City, MO

  1. Home
  2. Nurse Anesthetist - CR
  3. MO
  4. Kansas City
Mark D Banderman, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Kansas City, Missouri. He graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Services, Prodigy Office Anesthesia, Llc and his current practice location is 2301 Holmes St, Kansas City, Missouri. You can reach out to his office (for appointments etc.) via phone at (816) 404-1127.

Mark D Banderman is licensed to practice in Missouri (license number 134568) 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 1558577189.

Contact Information

Mark D Banderman, CRNA
2301 Holmes St,
Kansas City, MO 64108-2640
(816) 404-1127
(816) 404-1103

Map and Direction




Provider's Profile

Full NameMark D Banderman
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience17 Years
Location2301 Holmes St, Kansas City, Missouri
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mark D Banderman graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1558577189
  • Provider Enumeration Date: 05/14/2007
  • Last Update Date: 11/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3577663400
  • Enrollment ID: I20080325000124

Medical Identifiers

Medical identifiers for Mark D Banderman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558577189NPI-NPPES
134568OtherMOMO RN LICENSE
1477923102OtherKSKS RN LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 134568 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Health RichmondRichmond, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesia Services569876639210
Prodigy Office Anesthesia, Llc89214507769

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. Mark D Banderman allows following entities to bill medicare on his behalf.
Entity NameAnesthesia Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689706343
PECOS PAC ID: 5698766392
Enrollment ID: O20040520001642
Entity NameMid-south Anesthesia, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487929121
PECOS PAC ID: 3173779188
Enrollment ID: O20120807000729
Entity NameResource Anesthesia Cumberland Valley Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780930743
PECOS PAC ID: 2961652755
Enrollment ID: O20121102000100
Entity NameProvidian Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821654666
PECOS PAC ID: 2264765791
Enrollment ID: O20190614000874
Entity NameProdigy Office Anesthesia, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639950140
PECOS PAC ID: 8921450776
Enrollment ID: O20240117004429

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. Mark D Banderman 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 AddressPractice Location Address
Mark D Banderman, CRNA
247 Marcellus Dr,
Berea, KY 40403-2008

Ph: () -		Mark D Banderman, CRNA
2301 Holmes St,
Kansas City, MO 64108-2640

Ph: (816) 404-1127

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Kansas City, MO

Michael S Filla, RN, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2316 E Meyer Blvd, Kansas City, MO 64132
Phone: 816-276-4000    
Kelli A Pryor,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 2301 Holmes St, Kansas City, MO 64108
Phone: 816-404-1100    
Sydney L. Overton, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2316 E Meyer Blvd, Kansas City, MO 64132
Phone: 816-763-5446    Fax: 816-763-8426
Jennifer Lee Hugo Francisco, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2401 Gillham Rd, Kansas City, MO 64108
Phone: 816-701-5200    Fax: 816-302-9939
Adrienne Jill Rader, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2316 E Meyer Blvd, Kansas City, MO 64132
Phone: 816-763-5446    Fax: 816-763-8426
Ms. Kelly R Gordon, RN ARNP CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1318 E. 104th St., Kansas City, MO 64131
Phone: 816-256-5180    
Jon R Featherston,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2301 Holmes St, Kansas City, MO 64108
Phone: 816-404-1100    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.