Mark Etheridge, CRNA in Mobile, AL - Medicare Certified Registered Nurse Anesthetist (crna)

Mark Etheridge, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mobile, Alabama. 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 Anesthesiologist Services Pc, North American Partners In Anesthesia Llp and his current practice location is 2451 Fillingim St, Mobile, Alabama. You can reach out to his office (for appointments etc.) via phone at (251) 471-7035.

Mark Etheridge is licensed to practice in Alabama (license number 1-080454) 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 1659367035.

Contact Information

	Mark Etheridge, CRNA
	2451 Fillingim St, Mobile, AL 36617-2238
	(251) 471-7035
	(251) 471-7042

Map and Direction

Provider's Profile

Full Name	Mark Etheridge
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	22 Years
Location	2451 Fillingim St, Mobile, Alabama
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:

Mark Etheridge graduated from nursing school in 2002

NPI Data:

NPI Number: 1659367035
Provider Enumeration Date: 09/21/2005
Last Update Date: 05/01/2017

Medicare PECOS Information:

PECOS PAC ID: 8527161587
Enrollment ID: I20120815000002

Medical Identifiers

Medical identifiers for Mark Etheridge such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659367035	NPI	-	NPPES
051552967	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	1-080454 (Alabama)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Samaritan Medical Center	Watertown, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jefferson Anesthesiologist Services Pc	0840289260	31
North American Partners In Anesthesia Llp	7719885771	503

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 Etheridge allows following entities to bill medicare on his behalf.

Entity Name	North American Partners In Anesthesia Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649264706 PECOS PAC ID: 7719885771 Enrollment ID: O20040108000176

Entity Name	American Anesthesiology Of New York, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114973724 PECOS PAC ID: 9537050968 Enrollment ID: O20040323001912

Entity Name	Jefferson Anesthesiologist Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508818014 PECOS PAC ID: 0840289260 Enrollment ID: O20040512000314

Entity Name	Premier Anesthesia Of New York, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063658961 PECOS PAC ID: 7719041102 Enrollment ID: O20090129000560

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 Etheridge 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
Mark Etheridge, CRNA 5680 Shelby Ln, Wilmer, AL 36587-6800 Ph: (251) 645-2529	Mark Etheridge, CRNA 2451 Fillingim St, Mobile, AL 36617-2238 Ph: (251) 471-7035

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Mobile, AL

Johnathan E Bruns, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607 Phone: 251-432-4497 Fax: 251-432-0577
Mrs. Lisa M Mckinley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6701 Airport Blvd, Suite 430, Mobile, AL 36608 Phone: 251-631-3270
Ted W Holmes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3719 Dauphin St, Springhill Medical Center Anesthesia Dept, Mobile, AL 36608 Phone: 251-342-3000 Fax: 251-342-3043
Lindsey Lovorn Diehl, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6801 Airport Blvd, Mobile, AL 36608 Phone: 351-633-1000
Richard Williams, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607 Phone: 205-848-2925 Fax: 334-377-4417
Jennifer D Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607 Phone: 251-432-4497 Fax: 251-432-0577
John Adam Self, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2451 Fillingim St, Room 335, Mobile, AL 36617 Phone: 251-471-7045

Mark Etheridge, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Mobile, AL