| Mark Rothman, CRNA | |
|
602 Jackson St, Petoskey, MI 49770-2220 | |
| (231) 348-2795 | |
| (231) 348-2031 |
| Full Name | Mark Rothman |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 15 Years |
| Location | 602 Jackson St, Petoskey, Michigan |
| 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 |
|---|---|---|---|
| 1659642213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704258814 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mackinac Straits Health System Inc | 1456420876 | 24 |
| Entity Name | Northern Anesthesia Providers Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396834628 PECOS PAC ID: 4789579863 Enrollment ID: O20040218000105 |
| Entity Name | Northstar Anesthesia Of Michigan Ii Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437268026 PECOS PAC ID: 7911895164 Enrollment ID: O20040309000391 |
| Entity Name | Northstar Anesthesia Of Michigan Ii Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437268026 PECOS PAC ID: 7911895164 Enrollment ID: O20040309000625 |
| Entity Name | Mymichigan Medical Center Sault |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457305674 PECOS PAC ID: 7315936481 Enrollment ID: O20040512000662 |
| Entity Name | Mackinac Straits Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659536035 PECOS PAC ID: 1456420876 Enrollment ID: O20080930000157 |
| Entity Name | Sleepsmith Staffing Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114463379 PECOS PAC ID: 8325320369 Enrollment ID: O20170126001573 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Rothman, CRNA 602 Jackson St, Petoskey, MI 49770-2220 Ph: (231) 348-2795 | Mark Rothman, CRNA 602 Jackson St, Petoskey, MI 49770-2220 Ph: (231) 348-2795 |
Heather Marie Lesnik, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 602 Jackson St, Petoskey, MI 49770 Phone: 231-348-2795 Fax: 231-348-2031 | |
Michelle Rene'e Gaudreau, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-348-2795 Fax: 231-348-2031 | |
Heather Jean Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 416 Connable Ave, Petoskey, MI 49770 Phone: 231-348-2795 Fax: 231-348-2031 | |
Jonathon Johnson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 602 Jackson St, Petoskey, MI 49770 Phone: 231-348-2795 Fax: 231-348-2031 | |
Tara Leigh Simon, DNP, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1028 Emmet St Apt B, Petoskey, MI 49770 Phone: 231-881-2361 | |
Pamela A Crawford, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 602 Jackson St, Petoskey, MI 49770 Phone: 231-348-2795 Fax: 231-348-2031 |