| Mark T Labor, CRNA | |
|
2817 New Pinery Rd, Portage, WI 53901-9257 | |
| (608) 742-4131 | |
| (608) 742-6098 |
| Full Name | Mark T Labor |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 29 Years |
| Location | 2817 New Pinery Rd, Portage, Wisconsin |
| 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 |
|---|---|---|---|
| 1699741124 | NPI | - | NPPES |
| 43387400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 132420 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Clare Hospital - Baraboo | Baraboo, WI | Hospital |
| Ssm Health St Mary's Hospital - Madison | Madison, WI | Hospital |
| Mile Bluff Medical Center | Mauston, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Divine Savior Healthcare Inc | 5799684007 | 94 |
| Dean Health Systems Inc | 7012827983 | 1099 |
| Mile Bluff Medical Center Inc | 8527971399 | 74 |
| Entity Name | Dean Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Entity Name | Marshfield Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Entity Name | Mile Bluff Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922145077 PECOS PAC ID: 8527971399 Enrollment ID: O20031107000323 |
| Entity Name | Divine Savior Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124083894 PECOS PAC ID: 5799684007 Enrollment ID: O20040225000909 |
| Entity Name | Tomah Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992970453 PECOS PAC ID: 6901897016 Enrollment ID: O20040519000123 |
| Entity Name | Stateline Anesthesiologists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316937519 PECOS PAC ID: 1355353822 Enrollment ID: O20060627000180 |
| Entity Name | Mchs Hospitals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Entity Name | Lakeview Medical Center Inc Of Rice Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark T Labor, CRNA 2817 New Pinery Road, Po Box 387, Portage, WI 53901-0387 Ph: (608) 742-4131 | Mark T Labor, CRNA 2817 New Pinery Rd, Portage, WI 53901-9257 Ph: (608) 742-4131 |
Deborah Brzycki, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 262-416-8317 | |
Mr. William S. Rogers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131 Fax: 608-742-6098 | |
John Mitchell Hoopes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131 | |
Michael Tennier, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2817 New Pinery Rd, Portage, WI 53901 Phone: 608-742-4131 Fax: 608-745-5161 |