Mark Todd Wright, MN, CRNA | |
2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | |
(512) 925-7978 | |
Not Available |
Full Name | Mark Todd Wright |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 11 Years |
Location | 2200 E Show Low Lake Rd, Show Low, Arizona |
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 |
---|---|---|---|
1568733137 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AP125093 (Texas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | CRNA1500 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Summit Healthcare Regional Medical Center | Show low, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northeastern Anesthesia Pllc | 4284813940 | 20 |
Entity Name | Northeastern Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487956504 PECOS PAC ID: 4284813940 Enrollment ID: O20110126001051 |
Mailing Address | Practice Location Address |
---|---|
Mark Todd Wright, MN, CRNA 4988 Robinhood Ln, Lakeside, AZ 85929-5119 Ph: (512) 925-7978 | Mark Todd Wright, MN, CRNA 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 Ph: (512) 925-7978 |
Leanne Tawoda, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-4375 Fax: 928-537-2466 | |
Christina Cowgill, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-4375 | |
Joann Anderson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-368-8118 Fax: 928-368-8121 |