| Scott Joseph Mango, CRNA | |
|
1900 Columbus Ave, Bay City, MI 48708-6880 | |
| (989) 894-3000 | |
| (989) 891-0497 |
| Full Name | Scott Joseph Mango |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1900 Columbus Ave, Bay City, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720414949 | NPI | - | NPPES |
| 100680 | Other | MI | AANA |
| P01290769 | Other | MI | RAILROAD MEDICARE |
| 0872871 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704206863 (Michigan) | Primary |
| Entity Name | Mymichigan Medical Center Midland |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770668683 PECOS PAC ID: 2264323633 Enrollment ID: O20040324001146 |
| Entity Name | Mymichigan Medical Center Clare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417084278 PECOS PAC ID: 7012829773 Enrollment ID: O20040424000282 |
| Entity Name | Mymichigan Medical Center Gladwin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881869774 PECOS PAC ID: 0143262915 Enrollment ID: O20081024000094 |
| Entity Name | Mymichigan Medical Center West Branch |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538566765 PECOS PAC ID: 7214251081 Enrollment ID: O20160714002424 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Joseph Mango, CRNA Po Box 660857, Dallas, TX 75266-0857 Ph: (855) 709-4498 | Scott Joseph Mango, CRNA 1900 Columbus Ave, Bay City, MI 48708-6880 Ph: (989) 894-3000 |
Scott Kowalewsky, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Columbus Ave, Bay City, MI 48708 Phone: 989-894-3000 | |
Alison Spalding, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Columbus Ave, Bay City, MI 48708 Phone: 989-894-3000 | |
Ashley Strohmer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Columbus Ave, Bay City, MI 48708 Phone: 214-242-8482 | |
Robert Allen Stockton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1900 Columbus Ave, Bay City, MI 48708 Phone: 989-894-3000 Fax: 989-894-6138 | |
Laura Marie Acosta, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Columbus Ave, Bay City, MI 48708 Phone: 989-894-3820 Fax: 989-891-0497 | |
Michael Lang, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Columbus Ave, Bay City, MI 48708 Phone: 989-894-3000 | |
Matthew Thomas Blair, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Columbus Ave, Bay City, MI 48708 Phone: 989-894-3000 Fax: 989-894-6138 |