| Mark B Titcomb, CRNA | |
|
1775 Thompson Rd, Coos Bay, OR 97420-2125 | |
| (541) 269-8020 | |
| Not Available |
| Full Name | Mark B Titcomb |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1775 Thompson Rd, Coos Bay, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316120868 | NPI | - | NPPES |
| 274528 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | (Oregon) | Primary |
| Entity Name | Anesthesia Associates Northwest Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548281751 PECOS PAC ID: 7618908484 Enrollment ID: O20050822001459 |
| Entity Name | Hospitalist Medicine Physicians Of Washington - Tcs |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649816380 PECOS PAC ID: 6800240102 Enrollment ID: O20230920001616 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark B Titcomb, CRNA 1860 Virginia Ave Ste 9, Po Box 349, North Bend, OR 97459-2355 Ph: (541) 756-2070 | Mark B Titcomb, CRNA 1775 Thompson Rd, Coos Bay, OR 97420-2125 Ph: (541) 269-8020 |
Jingzhe Gao, DNP-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8111 | |
Charles E Couture, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1775 Thompson Rd, Coos Bay, OR 97420 Phone: 541-269-8020 | |
Mrs. Gayle S Larson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4501 | |
Matthew S Morris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 | |
Jay Alan Bryngelson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 | |
Mr. Larry C Wheeker, RN, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1900 Woodland Dr, Coos Bay, OR 97420 Phone: 541-267-5151 Fax: 541-266-4501 |