| Mark Allen Lang, CRNA | |
|
667 Eastland Ave Se, Warren, OH 44484-4503 | |
| (330) 841-4000 | |
| (330) 841-4455 |
| Full Name | Mark Allen Lang |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 23 Years |
| Location | 667 Eastland Ave Se, Warren, Ohio |
| 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 |
|---|---|---|---|
| 1659300119 | NPI | - | NPPES |
| 8232481 | Other | OH | MEDICARE PTAN |
| P00064161 | Other | OH | MEDICARE RAILROAD |
| 2438339 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN.229173.COA-1 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospitals Portage Medical Center | Ravenna, OH | Hospital |
| University Hospitals Geneva Medical Center | Geneva, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Safe Anesthesia Chardon Llc | 0547456386 | 13 |
| University Primary Care Practices Inc | 3072417534 | 972 |
| Safe Anesthesia Geneva Llc | 4385771997 | 29 |
| Entity Name | Ohiohealth Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
| Entity Name | University Primary Care Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
| Entity Name | Bel-park Anesthesia Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508813528 PECOS PAC ID: 8628974904 Enrollment ID: O20031209000067 |
| Entity Name | Geauga Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841283454 PECOS PAC ID: 0840184602 Enrollment ID: O20040212000000 |
| Entity Name | Safe Anesthesia Geneva Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821327636 PECOS PAC ID: 4385771997 Enrollment ID: O20100429000743 |
| Entity Name | Safe Anesthesia Chardon Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740599976 PECOS PAC ID: 0547456386 Enrollment ID: O20101119000141 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Allen Lang, CRNA 4135 Boardman Canfield Rd, Suite 101, Canfield, OH 44406-9803 Ph: (330) 286-5330 | Mark Allen Lang, CRNA 667 Eastland Ave Se, Warren, OH 44484-4503 Ph: (330) 841-4000 |
Ms. Margaret Layshock, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1350 E Market St, Warren, OH 44483 Phone: 330-841-9230 Fax: 330-841-9571 | |
Charlene S White-lowery, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1622 E Market St, Warren, OH 44483 Phone: 330-399-7215 | |
Rosanne Eartly, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 667 Eastland Ave Se, 667 Eastland Avenue Se, Warren, OH 44484 Phone: 330-841-4100 Fax: 330-841-4455 | |
Ruth E Skornicka, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 667 Eastland Ave Se, Warren, OH 44484 Phone: 330-841-4100 Fax: 330-841-4455 | |
Kathleen D Sprague, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1350 E Market St, Warren, OH 44483 Phone: 330-841-9230 Fax: 330-841-9571 | |
M Jean Durandetta, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1934 Niles Cortland Rd Ne, Warren, OH 44484 Phone: 330-609-7874 Fax: 330-609-6616 | |
Ms. Cynthia Faye Flick, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 667 Eastland Ave Se, Warren, OH 44484 Phone: 330-841-4100 Fax: 330-841-4455 |