Sophia N. Mirviss, M.d., Inc. - Medicare Primary Care in Berkeley, CA

Sophia N. Mirviss, M.d., Inc. is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Berkeley, California. The current practice location for Sophia N. Mirviss, M.d., Inc. is 3000 Colby St Ste 201, Berkeley, California. For appointments, you can reach them via phone at (510) 843-0692. The mailing address for Sophia N. Mirviss, M.d., Inc. is 3000 Colby St Ste 201, Berkeley, California and phone number is (510) 843-0692.

Sophia N. Mirviss, M.d., Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1285265769. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (510) 843-0692.

Contact Information

Sophia N. Mirviss, M.d., Inc.
3000 Colby St Ste 201
Berkeley
CA 94705-2058
(510) 843-0692
Not Available

Primary Care Clinic Profile

Full NameSophia N. Mirviss, M.d., Inc.
SpecialityClinic/Center
Location3000 Colby St Ste 201, Berkeley, California
Authorized Official Name and PositionLaurie Ervin (BILLING MANAGER)
Authorized Official Contact9252869039
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sophia N. Mirviss, M.d., Inc.
3000 Colby St Ste 201
Berkeley
CA 94705-2058

Ph: (510) 843-0692
Sophia N. Mirviss, M.d., Inc.
3000 Colby St Ste 201
Berkeley
CA 94705-2058

Ph: (510) 843-0692

NPI Details:

NPI Number1285265769
Provider Enumeration Date02/03/2020
Last Update Date02/03/2020

Medicare PECOS Information:

Medicare PECOS PAC ID9830528173
Medicare Enrollment IDO20200407002977

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Medical Identifiers

Medical identifiers for Sophia N. Mirviss, M.d., Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285265769NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Sophia N. Mirviss, M.d., Inc. acts as a billing entity for following providers:
Provider NameSophia N Mirviss
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1295874956
PECOS PAC ID: 4587751789
Enrollment ID: I20090110000090

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Provider NameTenzin Ngadon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912324757
PECOS PAC ID: 5193047918
Enrollment ID: I20141206000010

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Provider NameThomas J Cutillo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225201353
PECOS PAC ID: 5991006256
Enrollment ID: I20151211000302

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› Verified 6 days ago

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Read more News

› Verified 6 days ago


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