| Mark Funk, | |
|
52550 848th Rd, Neligh, NE 68756-2026 | |
| (402) 649-1629 | |
| Not Available |
| Full Name | Mark Funk |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 52550 848th Rd, Neligh, Nebraska |
| 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 |
|---|---|---|---|
| 1275102147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 80622 (Nebraska) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 101708 (Nebraska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Columbus Community Hospital, Inc | Columbus, NE | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Columbus Community Hospital Inc | 7517954944 | 86 |
| Entity Name | Alegent Health Memorial Hospital Schuyler |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780601781 PECOS PAC ID: 6406765965 Enrollment ID: O20031110000586 |
| Entity Name | Columbus Community Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427152131 PECOS PAC ID: 7517954944 Enrollment ID: O20040428000541 |
| Entity Name | Alegent Health Memorial Hospital Schuyler |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1568547032 PECOS PAC ID: 6406765965 Enrollment ID: O20100624000224 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Funk, 320 3rd St, Columbus, NE 68601-7808 Ph: (402) 649-1629 | Mark Funk, 52550 848th Rd, Neligh, NE 68756-2026 Ph: (402) 649-1629 |
Dr. Timothy Allen Johnson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 102 W 9th St, Neligh, NE 68756 Phone: 402-887-4151 |