| Marshall Barr Bergen, CRNA | |
|
4605 E Elwood St Ste 500, Phoenix, AZ 85040-1978 | |
| (480) 256-1518 | |
| (480) 304-3446 |
| Full Name | Marshall Barr Bergen |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 4605 E Elwood St Ste 500, Phoenix, 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 |
|---|---|---|---|
| 1003578568 | NPI | - | NPPES |
| 269219 | Other | AZ | ARIZONA NURSING BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 269219 (Arizona) | Primary |
| 163W00000X | Registered Nurse | RN192249 (Arizona) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Baywood Medical Center | Mesa, AZ | Hospital |
| Dignity Health Arizona General Hospital | Mesa, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Copper Star Anesthesia Llc | 7416342084 | 3 |
| Greater Anesthesia Solutions | 9234357906 | 210 |
| Ascend Anesthesia Llc | 5294246526 | 76 |
| Entity Name | Greater Anesthesia Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124430244 PECOS PAC ID: 9234357906 Enrollment ID: O20140822000525 |
| Entity Name | Summit Anesthesia Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821589144 PECOS PAC ID: 3971850892 Enrollment ID: O20180724002694 |
| Entity Name | Anesthesia Partners of Arizona LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619452901 PECOS PAC ID: 8628317179 Enrollment ID: O20190228001927 |
| Entity Name | Copper Star Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376290007 PECOS PAC ID: 7416342084 Enrollment ID: O20220317000493 |
| Entity Name | MB Anesthesiology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003640442 PECOS PAC ID: 1951836683 Enrollment ID: O20241119000695 |
| Entity Name | Ascend Anesthesia LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407642945 PECOS PAC ID: 5294246526 Enrollment ID: O20250613003278 |
| Mailing Address | Practice Location Address |
|---|---|
| Marshall Barr Bergen, CRNA 1526 E Beacon Dr, Gilbert, AZ 85234-2674 Ph: (480) 282-2011 | Marshall Barr Bergen, CRNA 4605 E Elwood St Ste 500, Phoenix, AZ 85040-1978 Ph: (480) 256-1518 |
Jenny Mcdonald, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1200 |
Rufus Lee Casey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1511 Fax: 602-263-1637 |
Maria M Valentin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1200 Fax: 602-263-1619 |
Michelle Minta, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4441 E Mcdowell Rd, Ste 101, Phoenix, AZ 85008 Phone: 602-273-6770 Fax: 602-889-0489 |
Jeanmarie Altieri, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 645 E Missouri Ave Ste 300, Phoenix, AZ 85012 Phone: 602-262-8900 Fax: 602-262-8890 |
Richard Warren Busby, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-301-8000 Fax: 480-301-4988 |
Ms. Terren Courtney Wortham, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 15255 N 40th St Ste 157, Phoenix, AZ 85032 Phone: 602-482-1001 |