Mr Mark B Wagner, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Grosse Pointe, MI

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Mr Mark B Wagner, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Grosse Pointe, Michigan. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Northwestern Services Llc, Michigan Crnas Staffing Llc, Northstar Anesthesia Of Michigan Iii Pllc, West Michigan Aas Llc and his current practice location is 468 Cadieux Rd, Grosse Pointe, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 577-3520.

Mr Mark B Wagner is licensed to practice in Michigan (license number 4704254851) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1164732053.

Contact Information

Mr Mark B Wagner, CRNA
468 Cadieux Rd,
Grosse Pointe, MI 48230-1507
(248) 577-3520
(248) 577-3526

Map and Direction




Provider's Profile

Full NameMr Mark B Wagner
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience14 Years
Location468 Cadieux Rd, Grosse Pointe, Michigan
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Mark B Wagner graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1164732053
  • Provider Enumeration Date: 10/14/2010
  • Last Update Date: 10/14/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 8224210554
  • Enrollment ID: I20110308000825

Medical Identifiers

Medical identifiers for Mr Mark B Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164732053NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 4704254851 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beaumont Hospital - Grosse PointeGrosse pointe, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northwestern Services Llc448672365741
Michigan Crnas Staffing Llc74161052266
Northstar Anesthesia Of Michigan Iii Pllc7911325469510
West Michigan Aas Llc993132407628

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. Mr Mark B Wagner allows following entities to bill medicare on his behalf.
Entity NameWilliam Beaumont Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811044878
PECOS PAC ID: 9335051093
Enrollment ID: O20040312000217
Entity NameNorthwestern Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215106679
PECOS PAC ID: 4486723657
Enrollment ID: O20080514000823
Entity NameMichigan Crnas Staffing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851666424
PECOS PAC ID: 7416105226
Enrollment ID: O20120920000441
Entity NameWest Michigan Aas Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295149227
PECOS PAC ID: 9931324076
Enrollment ID: O20140707000372
Entity NameNorthstar Anesthesia Of Michigan Iii Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972126209
PECOS PAC ID: 7911325469
Enrollment ID: O20200915001990

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. Mr Mark B Wagner 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
Mr Mark B Wagner, CRNA
468 Cadieux Rd,
Grosse Pointe, MI 48230-1507

Ph: (248) 577-3520		Mr Mark B Wagner, CRNA
468 Cadieux Rd,
Grosse Pointe, MI 48230-1507

Ph: (248) 577-3520

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Grosse Pointe, MI

Kathleen M Mclaren, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230
Phone: 313-343-1684    
Shirley A Hardy, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230
Phone: 313-343-1684    
Nayna Lal, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230
Phone: 313-473-1000    
Eric A Reim, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230
Phone: 313-343-1684    
Laura A Pytiak, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230
Phone: 313-473-1000    
Jodi R White-johnson,
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230
Phone: 313-343-1684    

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.