| Mark A Tomczak, CRNA | |
|
18221 Torrence Ave, Suite 1b, Lansing, IL 60438-2870 | |
| (708) 895-9450 | |
| (708) 895-9455 |
| Full Name | Mark A Tomczak |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 28 Years |
| Location | 18221 Torrence Ave, Lansing, Illinois |
| 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 |
|---|---|---|---|
| 1235188533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28118620A (Indiana) | Primary |
| 174400000X | Specialist | 209002567 (Illinois) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Elite Anesthesia Providers Ltd | 6709249006 | 26 |
| Elite Anesthesia Providers Ltd | 6709249006 | 26 |
| Entity Name | Elite Anesthesia Providers Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679258388 PECOS PAC ID: 6709249006 Enrollment ID: O20230905001966 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A Tomczak, CRNA 18221 Torrence Ave, Lansing, IL 60438-2870 Ph: (708) 895-9450 | Mark A Tomczak, CRNA 18221 Torrence Ave, Suite 1b, Lansing, IL 60438-2870 Ph: (708) 895-9450 |
Julie A. Flynn, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 18221 Torrence Ave, Lansing, IL 60438 Phone: 708-895-9450 |
Mr. Zachary Tyler Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18221 Torrence Ave, Suite 1-b, Lansing, IL 60438 Phone: 708-895-9450 Fax: 708-895-9455 |
Eileen Boetel, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 18221 Torrence Ave, Lansing, IL 60438 Phone: 708-895-9450 |
Mrs. Maria-paz Salazar Shariff, RN, CRNA, MS Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18221 Torrence Ave Ste 1b, Lansing, IL 60438 Phone: 708-895-9450 |
Kelly Jean Garry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18221 Torrence Ave, Lansing, IL 60438 Phone: 708-895-9450 Fax: 708-895-9455 |
Ms. Levorn Mccain-jones, APN CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 18221 Torrence Ave, Lansing, IL 60438 Phone: 708-895-9450 |
Therese A Bugaj, APN-CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 18221 Torrence Ave, Suite 1-d, Lansing, IL 60438 Phone: 708-895-9450 Fax: 847-895-9455 |