Edward William Mitzelfelt, CRNA in San Jose, CA - Medicare Nurse Anesthetist, Certified Registered

Edward William Mitzelfelt, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in San Jose, California. His current practice location is 250 Hospital Pkwy, San Jose, California. You can reach out to his office (for appointments etc.) via phone at (408) 972-3000.

Edward William Mitzelfelt is licensed to practice in California (license number 95001420) 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 1790399343.

Contact Information

	Edward William Mitzelfelt, CRNA
	250 Hospital Pkwy, San Jose, CA 95119-1103
	(408) 972-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Edward William Mitzelfelt
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	250 Hospital Pkwy, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790399343
Provider Enumeration Date: 09/01/2020
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 5890108120
Enrollment ID: I20210106001145

Medical Identifiers

Medical identifiers for Edward William Mitzelfelt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790399343	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	209.021446 (Illinois)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	95001420 (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. Edward William Mitzelfelt allows following entities to bill medicare on his behalf.

Entity Name	St Mary Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982668851 PECOS PAC ID: 8628038015 Enrollment ID: O20050407000802

Entity Name	Osf Multi-specialty Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279

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. Edward William Mitzelfelt 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
Edward William Mitzelfelt, CRNA 35846 Plumeria Way, Fremont, CA 94536-2660 Ph: (309) 241-8851	Edward William Mitzelfelt, CRNA 250 Hospital Pkwy, San Jose, CA 95119-1103 Ph: (408) 972-3000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in San Jose, CA

Tiassa Lena Powell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-3000
Mrs. Melinda K Moye, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, Anesthesiology Dept, San Jose, CA 95128 Phone: 408-793-6515 Fax: 408-885-7307
Lindsay Bradley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-3000
Mary A Carlisle, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-6320
Sonanika Chouhan, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-3000
Anna Leonidovna Bibergal, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000
Angela Marie Sperry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, Anesthesiology Dept, San Jose, CA 95128 Phone: 408-885-5745

Edward William Mitzelfelt, CRNA - Medicare Nurse Anesthetist, Certified Registered in San Jose, CA