Gradie B Mixon Jr, MD in Modesto, CA - Medicare Anesthesiology

Gradie B Mixon Jr, MD is a medicare enrolled "Anesthesiology" physician in Modesto, California. He went to Loma Linda University School Of Medicine and graduated in 1980 and has 44 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 4601 Dale Road, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 735-5000.

Gradie B Mixon Jr is licensed to practice in California (license number G57069) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164455267.

Contact Information

	Gradie B Mixon Jr, MD
	4601 Dale Road, Modesto, CA 95356
	(209) 735-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Gradie B Mixon Jr
Gender	Male
Speciality	Anesthesiology
Experience	44 Years
Location	4601 Dale Road, Modesto, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Gradie B Mixon Jr attended and graduated from Loma Linda University School Of Medicine in 1980

NPI Data:

NPI Number: 1164455267
Provider Enumeration Date: 07/09/2006
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 3577603174
Enrollment ID: I20091211000485

Medical Identifiers

Medical identifiers for Gradie B Mixon Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164455267	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	G57069 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	7800

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. Gradie B Mixon Jr allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Gradie B Mixon Jr 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
Gradie B Mixon Jr, MD 604 Cherry Hill Ct, Modesto, CA 95356-9556 Ph: (209) 522-9566	Gradie B Mixon Jr, MD 4601 Dale Road, Modesto, CA 95356 Ph: (209) 735-5000

Reviews and Comments

Anesthesiology Doctors in Modesto, CA

Vivian L Tan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211
Kenneth Imanaka, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211
Brian Paul Richardson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 619-933-4258 Fax: 858-777-3387
David Allen Betz, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211
Bindi Panjak Patel, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-521-6097
Vian Younan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-521-6097
Ker Yong J Koh, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-576-3514

Gradie B Mixon Jr, MD - Medicare Anesthesiology in Modesto, CA