Mark David Swenson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lake City, Minnesota. His current practice location is
500 W Grant St, Lake City, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(651) 345-3321.
Mark David Swenson is licensed to practice in Minnesota (license number 337) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275508111.
Provider's Profile
| Full Name | Mark David Swenson |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 500 W Grant St, Lake City, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1275508111
- Provider Enumeration Date: 02/22/2006
- Last Update Date: 06/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 8224019989
- Enrollment ID: I20050223000104
Medical Identifiers
Medical identifiers for Mark David Swenson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275508111 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 1344626 (Minnesota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 54863 (Minnesota) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 337 (Minnesota) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mark David Swenson allows following entities to bill medicare on his behalf.
| Entity Name | Saint Elizabeths Hospital Of Wabasha Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659355600
PECOS PAC ID: 5092619387
Enrollment ID: O20031119000811 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark David Swenson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Mark David Swenson, CRNA
500 W Grant St,
Lake City, MN 55041-1143
Ph: (651) 345-3321 | Mark David Swenson, CRNA
500 W Grant St,
Lake City, MN 55041-1143
Ph: (651) 345-3321 |
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