Mark E Vandolah, CRNA is a
Nurse Anesthetist, Certified Registered based in Three Forks, Montana. Mark E Vandolah is licensed to practice in Montana (license number RN14372) and his current practice location is
7 Vandolah Road, Three Forks, Montana. He can be reached at his office (for appointments etc.) via phone at
(406) 285-6588.
NPI number for Mark E Vandolah is 1891769600 and his current mailing address is Po Box 1330, 7 Vandolah Road, Three Forks, Montana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891769600.
Provider's Profile
| Full Name | Mark E Vandolah |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Anesthetist, Certified Registered |
|---|
| Location | 7 Vandolah Road, Three Forks, Montana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1891769600
- Provider Enumeration Date: 02/16/2006
- Last Update Date: 03/11/2008
Medical Identifiers
Medical identifiers for Mark E Vandolah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891769600 | NPI | - | NPPES |
| 4308525 | Medicaid | MT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN14372 (Montana) | Primary |
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 E Vandolah is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mark E Vandolah, CRNA
Po Box 1330, 7 Vandolah Road,
Three Forks, MT 59752-1330
Ph: (406) 285-6588 | Mark E Vandolah, CRNA
7 Vandolah Road,
Three Forks, MT 59752-1330
Ph: (406) 285-6588 |
Reviews and Comments