Marshall Barr Bergen, CRNA | |
4605 E Elwood St Ste 500, Phoenix, AZ 85040-1978 | |
(480) 256-1518 | |
(480) 304-3446 |
Full Name | Marshall Barr Bergen |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 3 Years |
Location | 4605 E Elwood St Ste 500, Phoenix, 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 |
---|---|---|---|
1003578568 | NPI | - | NPPES |
269219 | Other | AZ | ARIZONA NURSING BOARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN192249 (Arizona) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 269219 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Banner Baywood Medical Center | Mesa, AZ | Hospital |
Banner Boswell Medical Center | Sun city, AZ | Hospital |
Banner Del E. Webb Medical Center | Sun city west, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Anesthesia Partners Of Arizona Llc | 8628317179 | 184 |
Greater Anesthesia Solutions | 9234357906 | 158 |
Entity Name | Greater Anesthesia Solutions |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124430244 PECOS PAC ID: 9234357906 Enrollment ID: O20140822000525 |
Entity Name | Anesthesia Partners Of Arizona Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619452901 PECOS PAC ID: 8628317179 Enrollment ID: O20190228001927 |
Mailing Address | Practice Location Address |
---|---|
Marshall Barr Bergen, CRNA 1526 E Beacon Dr, Gilbert, AZ 85234-2674 Ph: (480) 282-2011 | Marshall Barr Bergen, CRNA 4605 E Elwood St Ste 500, Phoenix, AZ 85040-1978 Ph: (480) 256-1518 |
Jenny Mcdonald, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1200 | |
Rufus Lee Casey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1637 | |
Maria M Valentin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1200 | |
Michelle Minta, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4441 E Mcdowell Rd, Ste 101, Phoenix, AZ 85008 Phone: 602-273-6770 Fax: 602-889-0489 | |
Jeanmarie Altieri, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 645 E Missouri Ave Ste 300, Phoenix, AZ 85012 Phone: 602-262-8900 Fax: 602-262-8890 | |
Richard Warren Busby, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 Fax: 480-301-4988 | |
Leila Mclawhorn, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5039 |