| Mark W Foster, CRNA | |
|
17c Brentshire Square, Jackson, TN 38305-2273 | |
| (731) 664-1717 | |
| (731) 664-7114 |
| Full Name | Mark W Foster |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 18 Years |
| Location | 17c Brentshire Square, Jackson, Tennessee |
| 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 |
|---|---|---|---|
| 1861641714 | NPI | - | NPPES |
| 1524874 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APN0000015280 (Tennessee) | Primary |
| 163W00000X | Registered Nurse | RN0000141656 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Memorial Hospital - Carroll County | Huntingdon, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifelinc Anesthesia Ii, Pllc | 2668658493 | 60 |
| Lifelinc Anesthesia Viii Pllc | 3173984762 | 67 |
| Entity Name | Lifelinc Anesthesia Ii, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821397233 PECOS PAC ID: 2668658493 Enrollment ID: O20110512000311 |
| Entity Name | Lifelinc Anesthesia Viii Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679265052 PECOS PAC ID: 3173984762 Enrollment ID: O20230728002666 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark W Foster, CRNA 17c Brentshire Square, Jackson, TN 38305-2273 Ph: (731) 664-1717 | Mark W Foster, CRNA 17c Brentshire Square, Jackson, TN 38305-2273 Ph: (731) 664-1717 |
Robert Wallace, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 367 Hospital Blvd, Jackson, TN 38305 Phone: 731-661-2227 | |
Brendan Mckinney, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-7070 Fax: 731-541-7075 | |
Ryan Shephard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-7070 Fax: 731-541-7075 | |
Daniel T Hurst, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 810 W Forest Ave, Jackson, TN 38301 Phone: 731-668-1853 Fax: 731-664-7731 | |
Pamela J Austin, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 810 W Forest Ave, Jackson, TN 38301 Phone: 731-662-1853 Fax: 731-664-7731 | |
Jason L. Hooper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 | |
Kenneth W Hutchinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 17c Brentshire Square, Jackson, TN 38305 Phone: 731-664-1717 Fax: 731-664-7114 |