| Mark Gregory Busby, CRNA | |
|
2401 W Main St, Marion, IL 62959-1188 | |
| (618) 997-5311 | |
| Not Available |
| Full Name | Mark Gregory Busby |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2401 W Main St, Marion, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679510739 | NPI | - | NPPES |
| 214881 | Other | IL | GROUP PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209004181 (Illinois) | Primary |
| Entity Name | Marion Anesthesia Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790721579 PECOS PAC ID: 3577522010 Enrollment ID: O20041008000899 |
| Entity Name | Southern Illinois Medical Services Nfp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595 |
| Entity Name | Northstar Anesthesia Of Illinois, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Gregory Busby, CRNA 604 David Livingstone Dr, Carterville, IL 62918-1053 Ph: (618) 751-0299 | Mark Gregory Busby, CRNA 2401 W Main St, Marion, IL 62959-1188 Ph: (618) 997-5311 |
David I Blue, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 W Deyoung St, Marion, IL 62959 Phone: 618-998-7000 | |
Mr. George E Wiggins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12266 Deer Run Rd, Marion, IL 62959 Phone: 618-964-1223 | |
Jason L Vallette, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 W Deyoung St, Marion, IL 62959 Phone: 660-826-5960 Fax: 660-826-4852 | |
Joseph Specker Iv, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 W Deyoung St, Marion, IL 62959 Phone: 228-861-1192 Fax: 618-997-1122 | |
Ms. Karen J. Harbal, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3003 Civic Circle Blvd, Marion, IL 62959 Phone: 618-993-1112 Fax: 618-993-1113 | |
Mr. Christopher R Whitley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 906 E Gregory Lane, Marion, IL 62959 Phone: 618-993-5327 | |
Gregory Scott Clark, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 W Deyoung St, Marion, IL 62959 Phone: 618-998-7000 |