| Mark D Plunkett, CRNA | |
|
7525 California Ave, Boardman, OH 44512-5623 | |
| (330) 758-1954 | |
| Not Available |
| Full Name | Mark D Plunkett |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 29 Years |
| Location | 7525 California Ave, Boardman, 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 |
|---|---|---|---|
| 1790715936 | NPI | - | NPPES |
| 0534667 | Medicaid | OH | |
| 000000139900 | Other | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN235006 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Surgical Hospital At Southwoods | Youngstown, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Triad Health Services Llc | 9032367917 | 226 |
| Entity Name | Triad Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588925457 PECOS PAC ID: 9032367917 Enrollment ID: O20120918000787 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark D Plunkett, CRNA Po Box 182255, Columbus, OH 43218-2255 Ph: (614) 430-5724 | Mark D Plunkett, CRNA 7525 California Ave, Boardman, OH 44512-5623 Ph: (330) 758-1954 |
John J Zajac, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6505 Market St, Building B, Boardman, OH 44512 Phone: 330-758-1065 Fax: 330-286-5396 | |
Kristine Harp, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8401 Market St, Jameson Hospital, Boardman, OH 44512 Phone: 330-729-2929 | |
Maria Rolinski Cochran, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7630 Southern Blvd, Boardman, OH 44512 Phone: 330-758-1954 | |
Mrs. April L Patterson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 866 Edenridge Dr, Boardman, OH 44512 Phone: 330-518-9579 | |
Jenna Sammartino, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7630 Southern Blvd, Boardman, OH 44512 Phone: 330-758-1954 | |
David Buzzacco, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7525 California Ave, Boardman, OH 44512 Phone: 330-758-1954 | |
Robert S Kime, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 7525 California Ave, Boardman, OH 44512 Phone: 330-758-1954 |