| Mark Field Mackey, CRNA | |
|
590 Medical Center Road, Ft Cavazos, TX 76544 | |
| (254) 288-8197 | |
| Not Available |
| Full Name | Mark Field Mackey |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 590 Medical Center Road, Ft Cavazos, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114942695 | NPI | - | NPPES |
| 165732205 | Medicaid | TX | |
| 165732208 | Medicaid | TX | |
| 165732206 | Medicaid | TX | |
| P00429638 | Other | MEDICARE RAILROAD | |
| 8134UU | Other | TX | BCBS |
| 165732210 | Medicaid | TX | |
| 660463 | Other | TX | RN LICENSE |
| 87908U | Other | BLUE CROSS | |
| 165732213 | Medicaid | TX | |
| P00956822 | Other | TX | RR MEDICARE |
| 8333UD | Other | TX | BCBS TX |
| P01202402 | Other | TX | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 660463 (Texas) | Primary |
| Entity Name | Austin Anesthesiology Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598724304 PECOS PAC ID: 0547256497 Enrollment ID: O20040424000086 |
| Entity Name | Westlake Anesthesia Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679511307 PECOS PAC ID: 4981607405 Enrollment ID: O20060822000436 |
| Entity Name | Youngs Professional Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614 |
| Entity Name | Austin Gastroenterology Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427405810 PECOS PAC ID: 6305138603 Enrollment ID: O20160707000274 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
| Entity Name | Total Medical Management Solutions, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831663921 PECOS PAC ID: 1153663885 Enrollment ID: O20190430000904 |
| Entity Name | Tc Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326447236 PECOS PAC ID: 1850619958 Enrollment ID: O20190507000422 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200422002521 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Field Mackey, CRNA 590 Medical Center Road, Ft. Cavazos, TX 76544 Ph: (210) 916-4141 | Mark Field Mackey, CRNA 590 Medical Center Road, Ft Cavazos, TX 76544 Ph: (254) 288-8197 |