Gavin Mcmullen, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in San Bernardino, CA

Gavin Mcmullen, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in San Bernardino, California. He went to Loma Linda University School Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Palm Springs Anesthesia Services Pc and his current practice location is 2101 N Waterman Ave, San Bernardino, California. You can reach out to his office (for appointments etc.) via phone at (909) 883-8711.

Gavin Mcmullen is licensed to practice in California (license number 125600) 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 1720549504.

Contact Information

Gavin Mcmullen, CRNA
2101 N Waterman Ave,
San Bernardino, CA 92404-4836
(909) 883-8711
Not Available

Map and Direction




Provider's Profile

Full NameGavin Mcmullen
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience5 Years
Location2101 N Waterman Ave, San Bernardino, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Gavin Mcmullen attended and graduated from Loma Linda University School Of Medicine in 2019
  NPI Data:
  • NPI Number: 1720549504
  • Provider Enumeration Date: 03/26/2019
  • Last Update Date: 03/26/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5597098491
  • Enrollment ID: I20190607002241

Medical Identifiers

Medical identifiers for Gavin Mcmullen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720549504NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 125600 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Bernardine Medical CenterSan bernardino, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Palm Springs Anesthesia Services Pc640604959278

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. Gavin Mcmullen allows following entities to bill medicare on his behalf.
Entity NamePalm Springs Anesthesia Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083928501
PECOS PAC ID: 6406049592
Enrollment ID: O20101021000600
Entity NameDhp Anesthesia Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093078974
PECOS PAC ID: 7113176421
Enrollment ID: O20121002000299
Entity NameMission Nursing Anesthesia Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932571551
PECOS PAC ID: 9436459278
Enrollment ID: O20151130000657
Entity NameDarin Rentz Do Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689321747
PECOS PAC ID: 7315333853
Enrollment ID: O20220408001009

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. Gavin Mcmullen 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 AddressPractice Location Address
Gavin Mcmullen, CRNA
29585 Chandler Rd,
Highland, CA 92346-5415

Ph: () -
Gavin Mcmullen, CRNA
2101 N Waterman Ave,
San Bernardino, CA 92404-4836

Ph: (909) 883-8711

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in San Bernardino, CA

William Perkins,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404
Phone: 909-883-8711    
Christina Maria Picar Tan, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404
Phone: 909-883-8711    
Andrew Steven Lim, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2101 N Waterman Ave, San Bernardino, CA 92404
Phone: 909-883-8711    
Louise Harrell, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 165 W Hospitality Ln, Suite 1, San Bernardino, CA 92408
Phone: 909-885-0282    Fax: 909-889-7367

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.