Mr Mark Sean Mattingly, CRNA in Philadelphia, PA - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Mark Sean Mattingly, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Philadelphia, Pennsylvania. He graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Jefferson University Physicians, Associates In Anesthesia, Inc. and his current practice location is 230 N Broad St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 762-7922.

Mr Mark Sean Mattingly is licensed to practice in Pennsylvania (license number RN560464) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1962499293.

Contact Information

	Mr Mark Sean Mattingly, CRNA
	230 N Broad St, Philadelphia, PA 19102-1121
	(215) 762-7922
	(215) 762-8656

Map and Direction

Provider's Profile

Full Name	Mr Mark Sean Mattingly
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	22 Years
Location	230 N Broad St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Mark Sean Mattingly graduated from nursing school in 2002

NPI Data:

NPI Number: 1962499293
Provider Enumeration Date: 10/03/2005
Last Update Date: 05/16/2014

Medicare PECOS Information:

PECOS PAC ID: 5092761437
Enrollment ID: I20050329000381

Medical Identifiers

Medical identifiers for Mr Mark Sean Mattingly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962499293	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN560464 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Thomas Jefferson University Hospital	Philadelphia, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jefferson University Physicians	7911819180	1273
Associates In Anesthesia, Inc.	9335052034	56

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 Sean Mattingly allows following entities to bill medicare on his behalf.

Entity Name	Associates In Anesthesia, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942281191 PECOS PAC ID: 9335052034 Enrollment ID: O20031124000710

Entity Name	Liberty Anesthesia Associates, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972509792 PECOS PAC ID: 8022902675 Enrollment ID: O20040212000793

Entity Name	Jefferson University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326093675 PECOS PAC ID: 7911819180 Enrollment ID: O20040225000232

Entity Name	Rancocas Anesthesiology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427076553 PECOS PAC ID: 2769380237 Enrollment ID: O20040330000316

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 Sean Mattingly 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 Address	Practice Location Address
Mr Mark Sean Mattingly, CRNA 1500 Market St, 24th Floor-west Tower, Philadelphia, PA 19102-2100 Ph: (215) 255-3828	Mr Mark Sean Mattingly, CRNA 230 N Broad St, Philadelphia, PA 19102-1121 Ph: (215) 762-7922

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Philadelphia, PA

Victor Abarca, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5800 Ridge Ave., Philadelphia, PA 19128 Phone: 251-483-9900
Donna Simmers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2301 E Allegheny Ave, Philadelphia, PA 19134 Phone: 215-291-3000
Catrina Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-5664
Veronica Mooney, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120 Phone: 215-456-7000 Fax: 215-254-2599
Lauren Bruce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120 Phone: 215-456-7000 Fax: 215-254-2599
Mrs. Jaiby V George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 N. Broad Street, Philadelphia, PA 19140 Phone: 215-707-3326 Fax: 215-707-8028
Carlene M Mclaughlin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-349-8310

Mr Mark Sean Mattingly, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Philadelphia, PA