| Mark Richard Bennett Jr, | |
|
709 W Main St, Manchester, IA 52057-1526 | |
| (563) 822-1435 | |
| (563) 822-1436 |
| Full Name | Mark Richard Bennett Jr |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 709 W Main St, Manchester, Iowa |
| 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 |
|---|---|---|---|
| 1871955435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | D131948 (Iowa) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates Northwest Llc | 7618908484 | 80 |
| Sweet Dreams Anesthesia | 1052770633 | 3 |
| Emerald Valley Anesthesia | 8729437199 | 8 |
| Entity Name | Coquille Valley Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730223967 PECOS PAC ID: 6901714591 Enrollment ID: O20040420000530 |
| Entity Name | Anesthesia Associates Northwest LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548281751 PECOS PAC ID: 7618908484 Enrollment ID: O20050822001459 |
| Entity Name | Coquille Valley Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1730223967 PECOS PAC ID: 6901714591 Enrollment ID: O20061104000087 |
| Entity Name | Springfield Or Anesthesia Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487158390 PECOS PAC ID: 4486917390 Enrollment ID: O20180405002737 |
| Entity Name | Sweet Dreams Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518654425 PECOS PAC ID: 1052770633 Enrollment ID: O20230629001303 |
| Entity Name | Hospitalist Medicine Physicians of Washington - Tcs |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649816380 PECOS PAC ID: 6800240102 Enrollment ID: O20230920001616 |
| Entity Name | Emerald Valley Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679355820 PECOS PAC ID: 8729437199 Enrollment ID: O20231211001129 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Richard Bennett Jr, 709 W Main St, Manchester, IA 52057-1526 Ph: (563) 822-1435 | Mark Richard Bennett Jr, 709 W Main St, Manchester, IA 52057-1526 Ph: (563) 822-1435 |
Isaac Albert Butler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 712 W Main St, Manchester, IA 52057 Phone: 563-822-1435 |
Collin James Willhite, CRNA DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 712 W Main St, Manchester, IA 52057 Phone: 319-368-3625 |
David Mark Huether, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 17893 224th St, Manchester, IA 52057 Phone: 563-927-6183 Fax: 563-927-6183 |
James Oliver Cody, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 712 W Main St, Manchester, IA 52057 Phone: 563-822-1435 |
Sarah Cisco, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Regional Medical Center, 709 W Main St, Manchester, IA 52057 Phone: 563-822-1435 |
Tara Steinbronn, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 712 W Main St, Manchester, IA 52057 Phone: 563-927-6183 |
Ms. Anne Meyer-mccright, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 712 W Main St, Manchester, IA 52057 Phone: 563-822-1435 Fax: 563-822-1436 |