Ms Marissa Ann Maple, in Beverly Hills, CA - Medicare Nurse Anesthetist, Certified Registered

Ms Marissa Ann Maple, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Beverly Hills, California. Her current practice location is 414 N Camden Dr Ste 1010, Beverly Hills, California. You can reach out to her office (for appointments etc.) via phone at (408) 813-7446.

Ms Marissa Ann Maple is licensed to practice in California (license number NA95001898) 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 1508510587.

Contact Information

	Ms Marissa Ann Maple,
	414 N Camden Dr Ste 1010, Beverly Hills, CA 90210-4515
	(408) 813-7446
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Marissa Ann Maple
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	414 N Camden Dr Ste 1010, Beverly Hills, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508510587
Provider Enumeration Date: 02/08/2022
Last Update Date: 04/08/2023

Medicare PECOS Information:

PECOS PAC ID: 0749663482
Enrollment ID: I20220813000180

Medical Identifiers

Medical identifiers for Ms Marissa Ann Maple such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508510587	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	NA95001898 (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. Ms Marissa Ann Maple allows following entities to bill medicare on her behalf.

Entity Name	Banner -- University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694

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. Ms Marissa Ann Maple 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 Address	Practice Location Address
Ms Marissa Ann Maple, 22325 Regnart Rd, Cupertino, CA 95014-4824 Ph: (408) 813-7446	Ms Marissa Ann Maple, 414 N Camden Dr Ste 1010, Beverly Hills, CA 90210-4515 Ph: (408) 813-7446

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Beverly Hills, CA

Ms. Eva Silegy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 465 N. Roxbury Drive, Beverly Hills, CA 90210 Phone: 310-622-5369 Fax: 310-247-9732
Laleh Amaya, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 450 N Roxbury Dr, Suite 600, Beverly Hills, CA 90210 Phone: 310-651-2280 Fax: 310-651-2260
Mr. Robert A Olson, CRNA, M.S Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 450 N Roxbury Dr, Suite 600, Beverly Hills, CA 90210 Phone: 310-651-2280 Fax: 310-651-2260
Holland Breath Mcguire, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8670 Wilshire Blvd Ste 300, Beverly Hills, CA 90211 Phone: 102-751-6463 Fax: 310-275-4294
Deborah J Frutkin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 450 N Roxbury Dr, Suite 600, Beverly Hills, CA 90210 Phone: 310-651-2280 Fax: 310-651-2260
Elizabeth Wong, C R N A Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 435 N Roxbury Dr, 104, Beverly Hills, CA 90210 Phone: 310-278-1839 Fax: 310-278-4320
Mr. David James Fournier, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 465 N Roxbury Dr Ste 802, Beverly Hills, CA 90210 Phone: 310-837-3712 Fax: 310-837-7240

Ms Marissa Ann Maple, - Medicare Nurse Anesthetist, Certified Registered in Beverly Hills, CA