Diana Nemirovsky, CNM in Berkeley, CA - Medicare Advanced Practice Midwife

Diana Nemirovsky, CNM is a medicare enrolled "Advanced Practice Midwife" in Berkeley, California. Her current practice location is 2450 Ashby Ave Rm 3040, Berkeley, California. You can reach out to her office (for appointments etc.) via phone at (510) 204-3977.

Diana Nemirovsky is licensed to practice in California (license number 1963) 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 1053695395.

Contact Information

	Diana Nemirovsky, CNM
	2450 Ashby Ave Rm 3040, Berkeley, CA 94705-2067
	(510) 204-3977
	(510) 204-5429

Map and Direction

Provider's Profile

Full Name	Diana Nemirovsky
Gender	Female
Speciality	Advanced Practice Midwife
Location	2450 Ashby Ave Rm 3040, Berkeley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053695395
Provider Enumeration Date: 10/05/2011
Last Update Date: 07/15/2020

Medicare PECOS Information:

PECOS PAC ID: 3274786108
Enrollment ID: I20160204002132

Medical Identifiers

Medical identifiers for Diana Nemirovsky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053695395	NPI	-	NPPES
1963	Other		AMCB
500645761	Medicaid	OR
R167530	Other	OR	PTAN
21112	Other	CA	CALIFORNIA BOARD OF NURSING
753612	Other	CA	BOARD OF NURSING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	753612 (California)	Secondary
363L00000X	Nurse Practitioner	21112 (California)	Secondary
367A00000X	Advanced Practice Midwife	1963 (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. Diana Nemirovsky allows following entities to bill medicare on her behalf.

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

Entity Name	La Clinica De La Raza Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144336181 PECOS PAC ID: 1557258282 Enrollment ID: O20040227001016

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. Diana Nemirovsky 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
Diana Nemirovsky, CNM 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (510) 204-3977	Diana Nemirovsky, CNM 2450 Ashby Ave Rm 3040, Berkeley, CA 94705-2067 Ph: (510) 204-3977

Reviews and Comments

Advanced Practice Midwife Nurses in Berkeley, CA

Eva L. Goodfriend-reano, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2216 Mcgee Ave, Berkeley, CA 94703 Phone: 510-848-1352 Fax: 510-323-2361
Aimee Tom, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3010 Colby St, Berkeley, CA 94705 Phone: 510-882-2137
Ms. Sallie Peters Hill, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2450 Ashby Ave, Berkeley, CA 94705 Phone: 510-204-3977 Fax: 510-204-5429
Ms. Lauren L. Galaty, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2001 Dwight Way, Berkeley Primary Care, Room 1363, Berkeley, CA 94704 Phone: 510-204-4637
Kassandra Marie Donnels, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2450 Ashby Ave, Berkeley, CA 94705 Phone: 510-204-4444
Kristen Park, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2404 Dana St, Apt B, Berkeley, CA 94704 Phone: 408-636-8431
Mrs. Lior Mayer, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2450 Ashby Ave, Berkeley, CA 94705 Phone: 510-204-3977 Fax: 510-204-5129

Diana Nemirovsky, CNM - Medicare Advanced Practice Midwife in Berkeley, CA