Mark J Sistrunk, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Jackson, MS

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Mark J Sistrunk, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jackson, Mississippi. He graduated from nursing school in 2007 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Physicians Anesthesia Group Staffing, Llc, Anesthesia Consultants Pa and his current practice location is 971 Lakeland Dr, Suite 202, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 362-1990.

Mark J Sistrunk is licensed to practice in Mississippi (license number R857282) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578748455.

Contact Information

Mark J Sistrunk, CRNA
971 Lakeland Dr, Suite 202,
Jackson, MS 39216-4643
(601) 362-1990
(601) 362-1988

Map and Direction




Provider's Profile

Full NameMark J Sistrunk
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience18 Years
Location971 Lakeland Dr, Jackson, Mississippi
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mark J Sistrunk graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1578748455
  • Provider Enumeration Date: 01/09/2008
  • Last Update Date: 01/09/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 4082791553
  • Enrollment ID: I20080408000464

Medical Identifiers

Medical identifiers for Mark J Sistrunk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578748455NPI-NPPES
R857282OtherMSRN LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R857282 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Physicians Anesthesia Group Staffing, Llc276992879521
Anesthesia Consultants Pa448663788191

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 J Sistrunk allows following entities to bill medicare on his behalf.
Entity NameJackson Anesthesia Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780737577
PECOS PAC ID: 3870585904
Enrollment ID: O20040331000285
Entity NameAnesthesia Consultants Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750300836
PECOS PAC ID: 4486637881
Enrollment ID: O20040608000711
Entity NamePhysicians Anesthesia Group, P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407890783
PECOS PAC ID: 6103806864
Enrollment ID: O20040722001098
Entity NamePhysicians Anesthesia Group Staffing, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558102772
PECOS PAC ID: 2769928795
Enrollment ID: O20240725002689

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 J Sistrunk 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 AddressPractice Location Address
Mark J Sistrunk, CRNA
971 Lakeland Dr, Suite 202,
Jackson, MS 39216-4643

Ph: (601) 362-1990		Mark J Sistrunk, CRNA
971 Lakeland Dr, Suite 202,
Jackson, MS 39216-4643

Ph: (601) 362-1990

Reviews and Comments


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Emily Sumrall Childress, CRNA
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Zachary Halliwell, CRNA
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Practice Location: 969 Lakeland Dr, Jackson, MS 39216
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.