Mark Sistoso, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Sill, Oklahoma. His current practice location is
4301 Wilson St, Fort Sill, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(719) 205-0017.
Mark Sistoso is licensed to practice in Washington (license number AP60451158) 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 1720407752.
Provider's Profile
| Full Name | Mark Sistoso |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 4301 Wilson St, Fort Sill, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mark Sistoso attended and graduated from in
NPI Data:
- NPI Number: 1720407752
- Provider Enumeration Date: 04/07/2014
- Last Update Date: 09/19/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mark Sistoso such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720407752 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | C003258 (Arkansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP60451158 (Washington) | Primary |
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 Sistoso 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 Sistoso,
4 Nw Stonebrook Dr,
Lawton, OK 73505-9599
Ph: (719) 205-0017 | Mark Sistoso,
4301 Wilson St,
Fort Sill, OK 73503-4472
Ph: (719) 205-0017 |
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