Mark R. Dvorak

CRNA | Nurse Practitioner | 38+ years Exp

N2950 State Road 67, Lake Geneva
  Wisconsin, 53147-2655
262-245-4990
Accepts Medicare Nurse Anesthetist in Lake Geneva, Wisconsin.
Mark R. Dvorak is a Lake Geneva, Wisconsin based nurse practitioner with 38 years of experience in . He completed his graduation in 1986. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mark R. Dvorak is 104604-030 in Wisconsin. His current practice location is N2950 State Road 67, Lake Geneva. Patients can reach him at 262-245-4990 or can fax him at 262-245-2248. Mark R. Dvorak is CRNA and his NPI number (Unique professional ID assigned by NPPES) is 1699750661.
Mark R. Dvorak has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mark R. Dvorak speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Mark R. Dvorak
Specialization: Nurse Practitioner (NP)
Gender:Male
Credentials: CRNA
Experience: 38+ years
Medical School Attended:Other
Graduation Year:1986
Accepts Medicare Assignment:Yes
Practice Address:N2950 State Road 67, Lake Geneva,
Wisconsin, 53147-2655
Phone:262-245-4990
Fax:262-245-2248
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 6800924085
Enrollment ID: I20100507000807
NPI Number: 1699750661
NPI Enumeration Date: 13 Dec, 2005
NPI Last Update On: 13 Jun, 2016

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mark R. Dvorak are as mentioned below.
License NumberSpecializationStateStatus
104604-030 WisconsinPrimary
1149-33Nurse Practitioner WisconsinSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(521357)Lake geneva, WICritical Access Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Mark R. Dvorak is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Mercy Health System Corporation (7416860440)412
Mercy Health System Corporation (7416860440)412
Other Medical Identifiers:
Other legacy medical identifiers associated with Mark R. Dvorak such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1699750661MedicaidWisconsin
43372600MedicaidWisconsin
DVORAMAROtherWisconsinMERCYCARE INSURANCE
430067408OtherRAIL ROAD MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Mark R. Dvorak
N2950 State Road 67,
Lake Geneva, Wisconsin
Zip: 53147-2655
Phone Number: 262-245-4990
Fax Number: 262-245-2248
Patients can reach Mark R. Dvorak at N2950 State Road 67, Lake Geneva, Wisconsin or can call to book an appointment on 262-245-4990.
Comments/ Reviews:

Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.