| Marcus Bergen, CRNA | |
|
1001 Providence Way, Newberg, OR 97132 | |
| (503) 537-1796 | |
| Not Available |
| Full Name | Marcus Bergen |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 39 Years |
| Location | 1001 Providence Way, Newberg, Oregon |
| 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 |
|---|---|---|---|
| 1508061664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Animas Surgical Hospital, Llc | Durango, CO | Hospital |
| Bronson Methodist Hospital | Kalamazoo, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Animas Surgical Hospital Llc | 0143295428 | 52 |
| Kalamazoo Anesthesiology P C | 3375449473 | 127 |
| Entity Name | Lutheran Hospital Association Of The San Luis Valley |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235181744 PECOS PAC ID: 4789589094 Enrollment ID: O20031201000318 |
| Entity Name | Animas Surgical Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861721714 PECOS PAC ID: 0143295428 Enrollment ID: O20081114000103 |
| Entity Name | Animas Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104148642 PECOS PAC ID: 2668668997 Enrollment ID: O20101129000104 |
| Mailing Address | Practice Location Address |
|---|---|
| Marcus Bergen, CRNA 2205 Sw 21st Ave, Portland, OR 97201-2358 Ph: () - | Marcus Bergen, CRNA 1001 Providence Way, Newberg, OR 97132 Ph: (503) 537-1796 |
Joshua Dean Dillard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1001 N Providence Dr, Newberg, OR 97132 Phone: 503-537-1555 |