| Marcus Lynn Ebright Zehr, CRNA | |
|
63950 Old County Road 17, Goshen, IN 46526-9505 | |
| (574) 202-2759 | |
| Not Available |
| Full Name | Marcus Lynn Ebright Zehr |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 63950 Old County Road 17, Goshen, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700156882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704271206 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 28173029 (Indiana) | Primary |
| Entity Name | Great Lakes Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720039977 PECOS PAC ID: 0648183442 Enrollment ID: O20031107000452 |
| Entity Name | Southeast Anesthesiologists, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548210685 PECOS PAC ID: 6800837980 Enrollment ID: O20050518001265 |
| Entity Name | Ams Northern Indiana Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427619840 PECOS PAC ID: 8022444306 Enrollment ID: O20200205000244 |
| Mailing Address | Practice Location Address |
|---|---|
| Marcus Lynn Ebright Zehr, CRNA 63950 Old County Road 17, Goshen, IN 46526-9505 Ph: (574) 202-2759 | Marcus Lynn Ebright Zehr, CRNA 63950 Old County Road 17, Goshen, IN 46526-9505 Ph: (574) 202-2759 |
Derek S Poulson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 57809 Hillside Dr, Goshen, IN 46528 Phone: 801-623-7813 | |
Janice Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 High Park Ave, Goshen, IN 46526 Phone: 317-340-8384 | |
Katherine Ann Newcomer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 High Park Ave, Goshen, IN 46526 Phone: 574-364-1000 | |
Rebecca Chalfant, DNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 High Park Ave, Goshen, IN 46526 Phone: 574-364-1000 | |
Brett Dyer, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 20208 Deer Path Ct., Goshen, IN 46528 Phone: 801-864-0218 |