| Mark Jeffrey Kowalcyk, CRNA | |
|
9612 Se Highborne Way, Hobe Sound, FL 33455-6828 | |
| (561) 529-0322 | |
| Not Available |
| Full Name | Mark Jeffrey Kowalcyk |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 9612 Se Highborne Way, Hobe Sound, Florida |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427598119 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | GAA-CRNA002130 (Georgia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9335901 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar North Fulton Hospital | Roswell, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mak Anesthesia Holdings, Llc | 4284917204 | 169 |
| Entity Name | Concordia Anesthesiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619296464 PECOS PAC ID: 8325172885 Enrollment ID: O20100819000220 |
| Entity Name | Sg Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053750646 PECOS PAC ID: 3072757079 Enrollment ID: O20130912000589 |
| Entity Name | Rg Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235553421 PECOS PAC ID: 1052543287 Enrollment ID: O20140422001220 |
| Entity Name | Mak Anesthesia Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
| Entity Name | Gi Anesthesia Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326569187 PECOS PAC ID: 0446516769 Enrollment ID: O20171102000283 |
| Entity Name | Mae Anesthesiology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518785195 PECOS PAC ID: 1951755388 Enrollment ID: O20250113001037 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Jeffrey Kowalcyk, CRNA 9612 Se Highborne Way, Hobe Sound, FL 33455-6828 Ph: () - | Mark Jeffrey Kowalcyk, CRNA 9612 Se Highborne Way, Hobe Sound, FL 33455-6828 Ph: (561) 529-0322 |