| 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 | 18 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 | APRN9335901 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar North Fulton Hospital | Roswell, GA | Hospital |
| Jupiter Medical Center | Jupiter, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jupiter Anesthesia Associates Llc | 0547348211 | 83 |
| Mak Anesthesia Holdings, Llc | 4284917204 | 205 |
| Entity Name | Gulf-to-bay Anesthesiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250 |
| Entity Name | Sheridan Healthcorp Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
| Entity Name | Anesthesia Physician Solutions Of South Florida, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104248699 PECOS PAC ID: 4688805286 Enrollment ID: O20140325000665 |
| Entity Name | East Coast Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538641352 PECOS PAC ID: 3072851914 Enrollment ID: O20190219000845 |
| 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 |