Mark Mizuba, CRNA in Roanoke, VA - Medicare Certified Registered Nurse Anesthetist (crna)

Mark Mizuba, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Roanoke, Virginia. He went to University Of Pittsburgh School Of Medicine and graduated in 1992 and has 34 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Carilion Professional Services Llc and his current practice location is 1906 Belleview Ave Se, Roanoke, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 853-0222.

Mark Mizuba is licensed to practice in Virginia (license number 0024166707) 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 1164439899.

Contact Information

	Mark Mizuba, CRNA
	1906 Belleview Ave Se, Roanoke, VA 24014-1838
	(540) 853-0222
	(540) 981-7855

Map and Direction

Provider's Profile

Full Name	Mark Mizuba
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	34 Years
Location	1906 Belleview Ave Se, Roanoke, Virginia
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:

Mark Mizuba attended and graduated from University Of Pittsburgh School Of Medicine in 1992

NPI Data:

NPI Number: 1164439899
Provider Enumeration Date: 08/02/2006
Last Update Date: 12/22/2025

Medicare PECOS Information:

PECOS PAC ID: 6800811100
Enrollment ID: I20051228000462

Medical Identifiers

Medical identifiers for Mark Mizuba such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164439899	NPI	-	NPPES
010218608	Medicaid	VA
010218641	Medicaid	VA
010218632	Medicaid	VA
010218705	Medicaid	VA
010218748	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	0024166707 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carilion Professional Services Llc	2163323999	87

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. Mark Mizuba 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
Mark Mizuba, CRNA 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: () -	Mark Mizuba, CRNA 1906 Belleview Ave Se, Roanoke, VA 24014-1838 Ph: (540) 853-0222

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Roanoke, VA

Misty Dawn Audette, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-853-0222 Fax: 540-981-7855
Veronica Renee Applewhite, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-853-0222 Fax: 540-981-7855
Mrs. Terry Lea Yeager, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Fourth Floor, Dept. Of Anesthesia, Roanoke, VA 24014 Phone: 540-853-0222
Ryan C Sims, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-853-0222 Fax: 540-981-7855
Joshua Michael Rose, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000
Miss Soyini Fraser, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-494-4897

Mark Mizuba, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Roanoke, VA