Dr Diane Groth Mimran, MD - Medicare Emergency Medicine in San Ramon, CA

Dr Diane Groth Mimran, MD is a medicare enrolled "Emergency Medicine" physician in San Ramon, California. Her current practice location is 6001 Norris Canyon Rd, San Ramon Regional Medical Center, San Ramon, California. You can reach out to her office (for appointments etc.) via phone at (925) 275-8282.

Dr Diane Groth Mimran is licensed to practice in California (license number A91557) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285670877.

Contact Information

Dr Diane Groth Mimran, MD
6001 Norris Canyon Rd, San Ramon Regional Medical Center,
San Ramon, CA 94583-5400
(925) 275-8282
Not Available



Physician's Profile

Full NameDr Diane Groth Mimran
GenderFemale
SpecialityEmergency Medicine
Location6001 Norris Canyon Rd, San Ramon, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285670877
  • Provider Enumeration Date: 06/21/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0547299372
  • Enrollment ID: I20050811000385

Medical Identifiers

Medical identifiers for Dr Diane Groth Mimran such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285670877NPI-NPPES
A91557OtherCAMEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine A91557 (California)Primary

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. Dr Diane Groth Mimran allows following entities to bill medicare on her behalf.
Entity NameTeam Physicians Of Northern California Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649692716
PECOS PAC ID: 7113215146
Enrollment ID: O20161006002407

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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. Dr Diane Groth Mimran 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
Dr Diane Groth Mimran, MD
4009 Tulip Way,
San Ramon, CA 94582

Ph: (925) 964-1416
Dr Diane Groth Mimran, MD
6001 Norris Canyon Rd, San Ramon Regional Medical Center,
San Ramon, CA 94583-5400

Ph: (925) 275-8282

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Emergency Medicine Doctors in San Ramon, CA

Monica Rosenthal, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2000 Crow Canyon Pl, Suite 260, San Ramon, CA 94583
Phone: 925-962-1067    
Mr. Daniel James Smeester, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Park Place, Suite #120, San Ramon, CA 94583
Phone: 925-289-1430    Fax: 925-362-0174
Samuel Katz, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 6001 Norris Canyon Rd, San Ramon, CA 94583
Phone: 925-275-8282    
Dr. Randeep Singh Thiara, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 6001 Norris Canyon Rd, San Ramon, CA 94583
Phone: 925-275-8280    
Amanda Stephenson, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 6001 Norris Canyon Rd, San Ramon, CA 94583
Phone: 925-275-8280    
Dr. Harold Washington Wilkie Jr., MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 6001 Norris Canyon Rd, San Ramon, CA 94583
Phone: 925-275-8280    Fax: 925-275-8284

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