Marc Bozenski, CRNA | NPI 1992037899

Key facts

NPI: 1992037899
Entity type: Individual (NPI type 1)
Primary specialty: Certified Registered Nurse Anesthetist 367500000X
License: 059042-23 (NH)
Practice address: 5 Alumni Dr.
Anesthesia Dept
Exeter, NH 03833-2128
Phone: (603) 580-6624
Fax: (603) 580-6620
NPI assigned: Feb 3, 2010
Sex: Male
Sole proprietor: No

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Stratham Anesthesia Associates PLLC Anesthesiology Physician · Stratham, NH · NPI 1346480639

Medicare reassignment Care Compare group NH
Anesthesia Care Group PC Anesthesiology Physician · Manchester, NH · NPI 1629074224

Medicare reassignment NPD NH
Wentworth Douglass Physician Corporation Magnetic Resonance Imaging Radiologic Technologist · Dover, NH · NPI 1447352430

Medicare reassignment NPD NH
Wentworth Douglass Physician Corporation Diagnostic Radiology Physician · Somersworth, NH · NPI 1295326494

NPD
Seacoast Anesthesia PA Anesthesiology Physician · Exeter, NH · NPI 1457306367

NPD (past)

Medicare Care Compare profile

Specialty: Certified Registered Nurse Anesthetist (Crna)
Education: Other, 2009
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Stratham Anesthesia Associates PLLC (26 clinicians)

Practice addresses (Care Compare)

16 Keewaydin Dr
Salem, NH 03079-2839
Phone (603) 401-6466

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NH

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20100510000072	NH	Practitioner - Certified Registered Nurse Anesthetist (Crna)	3577691773	Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Certified Registered Nurse

Practice roles

Organization	Status	New patients
Wentworth Douglass Physician Corporation	Current since Nov 13, 2019	Accepting new patients
Wentworth Douglass Physician Corporation	Current since Nov 13, 2019	Accepting new patients
Anesthesia Care Group PC	Current since Oct 1, 2018	Accepting new patients
Seacoast Anesthesia PA	Past	Accepting new patients

Locations

789 Central Ave
Dover, NH 03820
Phone (603) 740-2832

5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339

88 McGregor St
Ste 303
Manchester, NH 03102
Phone (603) 647-9325

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Certified Registered Nurse Anesthetist	367500000X	059042-23	NH	Yes

Addresses

Primary practice location

5 Alumni Dr.
Anesthesia Dept
Exeter, NH 03833-2128

Mailing address

7 Holland Way FL 1
Exeter, NH 03833-2997
Phone (603) 777-1096

Other identifiers

Identifier	Type	State	Issuer
3076389	Medicaid	NH

Other providers in Exeter, NH

All providers in Exeter, NH · Certified Registered Nurse Anesthetist in New Hampshire

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2018. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.