Mark Sistoso, | |
4301 Wilson St, Fort Sill, OK 73503-4472 | |
(719) 205-0017 | |
Not Available |
Full Name | Mark Sistoso |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 10 Years |
Location | 4301 Wilson St, Fort Sill, Oklahoma |
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 |
---|---|---|---|
1720407752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | C003258 (Arkansas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | AP60451158 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Premier Anesthesia Of Arkansas Professional Corporation | 6406077460 | 52 |
Entity Name | Anesthesia Services Of Benton County Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013084482 PECOS PAC ID: 2264405844 Enrollment ID: O20040813000287 |
Entity Name | Premier Anesthesia Of Arkansas Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932519485 PECOS PAC ID: 6406077460 Enrollment ID: O20141016002060 |
Entity Name | Capital Anesthesia Solutions Of Arkansas, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174125876 PECOS PAC ID: 5395159313 Enrollment ID: O20210202001530 |
Mailing Address | Practice Location Address |
---|---|
Mark Sistoso, 4 Nw Stonebrook Dr, Lawton, OK 73505-9599 Ph: (719) 205-0017 | Mark Sistoso, 4301 Wilson St, Fort Sill, OK 73503-4472 Ph: (719) 205-0017 |
Albert Arredondo Jr., MSN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4301 Mow-way Rd, Rach (attn:mcua-qc, Ms. Prescott), Fort Sill, OK 73505 Phone: 580-458-2134 Fax: 580-458-2314 |