Mark Anderson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Travis Afb, CA

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Mark Anderson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Travis Afb, California. His current practice location is 101 Bodin Cir, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at (707) 423-3300.

Mark Anderson is licensed to practice in California (license number 139506) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205566304.

Contact Information

Mark Anderson, CRNA
101 Bodin Cir,
Travis Afb, CA 94535-1809
(707) 423-3300
Not Available

Map and Direction




Provider's Profile

Full NameMark Anderson
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location101 Bodin Cir, Travis Afb, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205566304
  • Provider Enumeration Date: 06/13/2022
  • Last Update Date: 12/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9537538251
  • Enrollment ID: I20221219002297

Medical Identifiers

Medical identifiers for Mark Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205566304NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 139506 (California)Primary

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. Mark Anderson allows following entities to bill medicare on his behalf.
Entity NameGenesis Healthcare Partners Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548567498
PECOS PAC ID: 2163606807
Enrollment ID: O20110405000433
Entity NameBaec Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114446291
PECOS PAC ID: 7214293430
Enrollment ID: O20171103002022
Entity NameAdvanced Anesthesia Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720543762
PECOS PAC ID: 4880936145
Enrollment ID: O20190507001500
Entity NameValley Regional Anesthesia Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578272415
PECOS PAC ID: 3870964323
Enrollment ID: O20230120001928
Entity NameGreen Anesthesia
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457039331
PECOS PAC ID: 6103270566
Enrollment ID: O20231004000338

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. Mark Anderson 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
Mark Anderson, CRNA
101 Bodin Cir,
Travis Afb, CA 94535-1809

Ph: () -		Mark Anderson, CRNA
101 Bodin Cir,
Travis Afb, CA 94535-1809

Ph: (707) 423-3300

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Travis Afb, CA

Mr. Martin Ockert, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3589    
Mr. Jerry Edward Glattfelt, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 100 Bodin Cir, 60 Th Msgs/sgcsa, Travis Afb, CA 94535
Phone: 707-423-5370    
Mr. David Lee Perkins, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 708-423-3589    
Michael Millar, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3339    
Benjamin Jorgensen, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-673-3594    
Jorge Montequin,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3339    
Shawna Mills Greiner, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3583    

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.