| James Alan Mach Jr, | |
|
4572 County Road 61, Moose Lake, MN 55767-9401 | |
| (218) 485-4481 | |
| Not Available |
| Full Name | James Alan Mach Jr |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 4572 County Road 61, Moose Lake, Minnesota |
| 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 |
|---|---|---|---|
| 1245758234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 116704 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health Sandstone | Sandstone, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northern Lakes Surgery Center Llc | 1850757311 | 2 |
| Gateway Family Health Clinic, Ltd. | 6305758657 | 18 |
| Entity Name | Gateway Family Health Clinic, Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891748042 PECOS PAC ID: 6305758657 Enrollment ID: O20031104000556 |
| Entity Name | St Lukes Hospital Of Duluth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902845068 PECOS PAC ID: 7113834839 Enrollment ID: O20031120000212 |
| Entity Name | Community Memorial Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003869082 PECOS PAC ID: 0042129991 Enrollment ID: O20040202001203 |
| Entity Name | Essentia Health Moose Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154959880 PECOS PAC ID: 6608290333 Enrollment ID: O20200730001548 |
| Entity Name | Northern Lakes Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1649922485 PECOS PAC ID: 1850757311 Enrollment ID: O20230525002232 |
| Entity Name | Northern Lakes Surgery Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942914049 PECOS PAC ID: 1850757311 Enrollment ID: O20240723001683 |
| Mailing Address | Practice Location Address |
|---|---|
| James Alan Mach Jr, 40668 Lakeland Rd, Sturgeon Lake, MN 55783-3868 Ph: (218) 251-8272 | James Alan Mach Jr, 4572 County Road 61, Moose Lake, MN 55767-9401 Ph: (218) 485-4481 |
Jeffrey Allen Schneider, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 710 S Kenwood Ave, Moose Lake, MN 55767 Phone: 218-485-4481 Fax: 218-485-5665 |