| Anthony Wendell Marcukaitis, CRNA | |
|
1585 Third St, Fort Polk, LA 71459-5102 | |
| (337) 531-3517 | |
| Not Available |
| Full Name | Anthony Wendell Marcukaitis |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 20 Years |
| Location | 1585 Third St, Fort Polk, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063514438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704215056 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Munson Medical Center | Traverse city, MI | Hospital |
| Munson Healthcare Manistee Hospital | Manistee, MI | Hospital |
| Marquette General Hospital | Marquette, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Munson Medical Center | 3072426287 | 345 |
| Anesthesiology Of Marquette, P.c. | 6103851712 | 26 |
| Munson Healthcare Otsego Memorial Hospital | 8325942535 | 78 |
| Munson Medical Group | 8820277015 | 149 |
| Entity Name | Munson Healthcare Otsego Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376568865 PECOS PAC ID: 8325942535 Enrollment ID: O20050301000744 |
| Entity Name | Anesthesiology Of Marquette, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225039639 PECOS PAC ID: 6103851712 Enrollment ID: O20051003000636 |
| Entity Name | Munson Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821398322 PECOS PAC ID: 8820277015 Enrollment ID: O20110120000061 |
| Entity Name | Apollo Medical Group Of Traverse City Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467093153 PECOS PAC ID: 8123452331 Enrollment ID: O20191221000053 |
| Entity Name | Munson Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710735287 PECOS PAC ID: 3072426287 Enrollment ID: O20250131002194 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Wendell Marcukaitis, CRNA 8350 Joy Rd, Kaleva, MI 49645-9686 Ph: (517) 974-3236 | Anthony Wendell Marcukaitis, CRNA 1585 Third St, Fort Polk, LA 71459-5102 Ph: (337) 531-3517 |
Laura Payton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-718-2889 | |
Molly Black, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 210-862-9692 | |
Douglas Tortella, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 337-531-3011 | |
Michael David Smithers, CRNA, DNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Bayne-jones Army Community Hospital, 1585 Third St, Fort Polk, LA 71459 Phone: 808-321-2748 | |
Mr. Raymond James Devlin Iii, MSN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16513 Howard St, Apt D, Fort Polk, LA 71459 Phone: 337-537-5375 | |
Travis Husser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1585 3rd St, Fort Polk, LA 71459 Phone: 985-981-6455 |