Mr Mark Andrew Waterman, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Altus, OK

Mr Mark Andrew Waterman, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Altus, Oklahoma. He graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Baldwin Area Medical Center Inc and his current practice location is 1200 E Pecan St, Altus, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 379-5860.

Mr Mark Andrew Waterman is licensed to practice in Oklahoma (license number 96660) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1144553132.

Contact Information

Mr Mark Andrew Waterman, CRNA
1200 E Pecan St,
Altus, OK 73521-6141
(580) 379-5860
Not Available



Provider's Profile

Full NameMr Mark Andrew Waterman
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience15 Years
Location1200 E Pecan St, Altus, Oklahoma
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Mark Andrew Waterman graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1144553132
  • Provider Enumeration Date: 09/09/2009
  • Last Update Date: 09/09/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 8820135254
  • Enrollment ID: I20161118000938

Medical Identifiers

Medical identifiers for Mr Mark Andrew Waterman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144553132NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 96660 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Western Wisconsin HealthBaldwin, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baldwin Area Medical Center Inc791180058666

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Mark Andrew Waterman allows following entities to bill medicare on his behalf.
Entity NameHudson Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396849303
PECOS PAC ID: 0648183061
Enrollment ID: O20040115000507

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Entity NameAmery Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093763518
PECOS PAC ID: 2769391960
Enrollment ID: O20040131000207

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Entity NameLadd Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467560227
PECOS PAC ID: 9931092848
Enrollment ID: O20040204000998

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Entity NameSt. Croix Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043240922
PECOS PAC ID: 9335032184
Enrollment ID: O20040205000217

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Entity NameBaldwin Area Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467496133
PECOS PAC ID: 7911800586
Enrollment ID: O20040310000505

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Entity NameWestfields Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881640183
PECOS PAC ID: 2264490960
Enrollment ID: O20090122000350

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Entity NameAdvanced Surgical And Restorative Care Llc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1194466235
PECOS PAC ID: 0143603357
Enrollment ID: O20220822001815

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mark Andrew Waterman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Mark Andrew Waterman, CRNA
1200 E Pecan St,
Altus, OK 73521-6141

Ph: (580) 379-5860
Mr Mark Andrew Waterman, CRNA
1200 E Pecan St,
Altus, OK 73521-6141

Ph: (580) 379-5860

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Nurse Anesthetist, Certified Registered Nurses in Altus, OK

Mr. Michael Orlan Lockhart Jr., CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1200 E Pecan St, Altus, OK 73521
Phone: 580-379-5860    Fax: 580-379-5859
Frances Kay Christopher, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1200 E Pecan St, Altus, OK 73521
Phone: 580-482-4781    Fax: 580-481-2345
Jessica Lanae Poe, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1200 E Pecan St, Altus, OK 73521
Phone: 803-795-8605    Fax: 580-379-5859
Johnny J Sacco, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1200 E Pecan St, Altus, OK 73521
Phone: 580-379-5000    Fax: 580-379-5509
Amanda Jean Werneke, APRN-CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1200 E Pecan St, Altus, OK 73521
Phone: 580-379-5860    Fax: 580-379-5859
Mark Vincent Vadney, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1200 E Pecan St, Altus, OK 73521
Phone: 580-482-4781    Fax: 580-481-2345

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