| Mark F Gortmaker, CRNA | |
|
One Hospital Dr, Columbia, MO 65212-0001 | |
| (573) 882-2568 | |
| (573) 882-2226 |
| Full Name | Mark F Gortmaker |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 27 Years |
| Location | One Hospital Dr, Columbia, Missouri |
| 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 |
|---|---|---|---|
| 1649244161 | NPI | - | NPPES |
| 127254 | Other | MO | BLUE SHIELD/BLUE CHOICE |
| 686272 | Other | MO | HEALTHLINK |
| 5752614 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2004016548 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Boone Hospital Center | Columbia, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mid-america Anesthesia Consultants, Pc | 6305837626 | 49 |
| Entity Name | Southeast Missouri Hospital Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558311522 PECOS PAC ID: 9133024334 Enrollment ID: O20031201000775 |
| Entity Name | Mid-america Anesthesia Consultants, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083728463 PECOS PAC ID: 6305837626 Enrollment ID: O20040524000952 |
| Entity Name | Jefferson City Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336189398 PECOS PAC ID: 1850371089 Enrollment ID: O20040908000924 |
| Entity Name | Gastrointestinal Associates, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912950585 PECOS PAC ID: 9537166236 Enrollment ID: O20070103000068 |
| Entity Name | Capital Region Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477980837 PECOS PAC ID: 4688573686 Enrollment ID: O20070323000507 |
| Entity Name | The Curators Of The University Of Missouri |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
| Entity Name | Anesthesia Services Of Mid Missouri |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003207580 PECOS PAC ID: 4183943384 Enrollment ID: O20150511001993 |
| Entity Name | Orthomed Staffing Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225514276 PECOS PAC ID: 9638429178 Enrollment ID: O20220505000502 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark F Gortmaker, CRNA Po Box 843966, Kansas City, MO 64184-3966 Ph: (573) 884-3300 | Mark F Gortmaker, CRNA One Hospital Dr, Columbia, MO 65212-0001 Ph: (573) 882-2568 |
Kari A Mylenbusch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 855-903-0985 | |
Mrs. Megan Elaine Hilderbrand, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 855-903-0985 | |
Melissa Grcic-jacobelli, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 573-882-2226 | |
Allyson J Ihms, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 210 Portland St Ste 100, Columbia, MO 65201 Phone: 573-777-8818 Fax: 573-777-8819 | |
Zebulon E Thomeczek, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 573-882-2226 | |
Matthew Ryan Nanney, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-882-2568 Fax: 855-903-0985 | |
Anna Marie Wong, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1316 Old 63 S Ste 102, Columbia, MO 65201 Phone: 573-875-8838 |