Mark A Mendicino, CRNA | |
746 Jefferson Ave, Scranton, PA 18510-1624 | |
(570) 346-7797 | |
(570) 342-9802 |
Full Name | Mark A Mendicino |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 746 Jefferson Ave, Scranton, Pennsylvania |
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 |
---|---|---|---|
1376775221 | NPI | - | NPPES |
P00952233 | Other | PA | RR MEDICARE |
P00804060 | Other | PA | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN324534L (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Maple City Anesthesia Llc | 7214024488 | 6 |
Entity Name | Northern Tier Gastroenterology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578906483 PECOS PAC ID: 0547159212 Enrollment ID: O20040311000775 |
Entity Name | Wayne Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124026182 PECOS PAC ID: 4082522149 Enrollment ID: O20040707001239 |
Entity Name | North American Partners In Anesthesia, Pennsylvania , Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639137854 PECOS PAC ID: 7517960834 Enrollment ID: O20060807000040 |
Entity Name | Maple City Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609068196 PECOS PAC ID: 7214024488 Enrollment ID: O20071105000258 |
Entity Name | Professional Anesthesia Services Of North America Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972994820 PECOS PAC ID: 1658698824 Enrollment ID: O20150327000075 |
Mailing Address | Practice Location Address |
---|---|
Mark A Mendicino, CRNA 3998 Fair Ridge Dr, Ste 300, Fairfax, VA 22033-2921 Ph: (703) 295-9360 | Mark A Mendicino, CRNA 746 Jefferson Ave, Scranton, PA 18510-1624 Ph: (570) 346-7797 |
Andrea B Stachnick, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 746 Jefferson Ave, Scranton, PA 18510 Phone: 570-348-7127 Fax: 570-340-4911 | |
Kaylene Sutkowski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-703-8000 | |
Christopher Pisanchyn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St., Scranton, PA 18510 Phone: 570-703-8259 | |
Alexander Keris, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 Quincy Ave, Scranton, PA 18510 Phone: 570-340-2977 | |
Miss Stephanie Stivala, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-969-8000 | |
Mark Antonio, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 746 Jefferson Ave, Scranton, PA 18510 Phone: 570-346-7797 Fax: 570-342-9802 | |
Kevin Chernesky, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 Mulberry St, Scranton, PA 18510 Phone: 570-346-7797 Fax: 570-342-9802 |