Ray Neil Mitsuno, CRNA - Medicare Nurse Anesthetist, Certified Registered in Oakland, CA

Ray Neil Mitsuno, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Oakland, California. His current practice location is 3600 Broadway, Oakland, California. You can reach out to his office (for appointments etc.) via phone at (510) 752-1000.

Ray Neil Mitsuno is licensed to practice in California (license number 95000867) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083113294.

Contact Information

Ray Neil Mitsuno, CRNA
3600 Broadway,
Oakland, CA 94611-5730
(510) 752-1000
Not Available



Provider's Profile

Full NameRay Neil Mitsuno
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location3600 Broadway, Oakland, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083113294
  • Provider Enumeration Date: 02/03/2018
  • Last Update Date: 01/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6901167246
  • Enrollment ID: I20180228002281

Medical Identifiers

Medical identifiers for Ray Neil Mitsuno such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083113294NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 95000867 (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. Ray Neil Mitsuno allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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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. Ray Neil Mitsuno 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
Ray Neil Mitsuno, CRNA
225 Pomona Ave,
El Cerrito, CA 94530-4138

Ph: (510) 508-3091
Ray Neil Mitsuno, CRNA
3600 Broadway,
Oakland, CA 94611-5730

Ph: (510) 752-1000

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Nurse Anesthetist, Certified Registered Nurses in Oakland, CA

Diana Hiros, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611
Phone: 510-752-6238    
Annette Chenevey, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611
Phone: 510-752-6238    
David P Birch, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611
Phone: 510-752-6238    
Sandra Sue Schmit, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611
Phone: 510-752-6238    
Rhaven Danielle Mciver, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Telegraph Ave, Oakland, CA 94609
Phone: 510-879-9200    
Mrs. Polly Van Sant Soler, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1800 Harrison St Fl 7, Oakland, CA 94612
Phone: 510-625-6262    

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