| Mark Todd Wright, MN, CRNA | |
|
2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 | |
| (512) 925-7978 | |
| Not Available |
| Full Name | Mark Todd Wright |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 2200 E Show Low Lake Rd, Show Low, Arizona |
| 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 |
|---|---|---|---|
| 1568733137 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | AP125093 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA1500 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Summit Healthcare Regional Medical Center | Show low, AZ | Hospital |
| Canyon Vista Medical Center | Sierra vista, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Valley Regional Anesthesia Associates Inc | 3870964323 | 152 |
| Northeastern Anesthesia Pllc | 4284813940 | 33 |
| Entity Name | Northeastern Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487956504 PECOS PAC ID: 4284813940 Enrollment ID: O20110126001051 |
| Entity Name | Valley Regional Anesthesia Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578272415 PECOS PAC ID: 3870964323 Enrollment ID: O20240521001150 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Todd Wright, MN, CRNA 4988 Robinhood Ln, Lakeside, AZ 85929-5119 Ph: (512) 925-7978 | Mark Todd Wright, MN, CRNA 2200 E Show Low Lake Rd, Show Low, AZ 85901-7831 Ph: (512) 925-7978 |
Leanne Tawoda, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-4375 Fax: 928-537-2466 | |
Christina Cowgill, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-4375 | |
Joann Anderson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-368-8118 Fax: 928-368-8121 |