Mikhail Wenutu Fraser-gray, PA-C - Medicare Physician Assistant in Tulare, CA

Mikhail Wenutu Fraser-gray, PA-C is a medicare enrolled "Physician Assistant" in Tulare, California. He graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 869 N Cherry St, Tulare, California. You can reach out to his office (for appointments etc.) via phone at (559) 688-0821.

Mikhail Wenutu Fraser-gray is licensed to practice in California (license number 19766) 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 1760648117.

Contact Information

Mikhail Wenutu Fraser-gray, PA-C
869 N Cherry St,
Tulare, CA 93274-2207
(559) 688-0821
(818) 587-2493

Map and Direction




Provider's Profile

Full NameMikhail Wenutu Fraser-gray
GenderMale
SpecialityPhysician Assistant
Experience16 Years
Location869 N Cherry St, Tulare, 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:
  • Mikhail Wenutu Fraser-gray graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1760648117
  • Provider Enumeration Date: 08/05/2008
  • Last Update Date: 12/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4688738909
  • Enrollment ID: I20090202000397

Medical Identifiers

Medical identifiers for Mikhail Wenutu Fraser-gray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760648117NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 19766 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern California Permanente Medical Group60027291757951

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. Mikhail Wenutu Fraser-gray 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
Mikhail Wenutu Fraser-gray, PA-C
111 N Sepulveda Blvd, Suite 210,
Manhattan Beach, CA 90266-6861

Ph: (310) 379-2134
Mikhail Wenutu Fraser-gray, PA-C
869 N Cherry St,
Tulare, CA 93274-2207

Ph: (559) 688-0821

Reviews and Comments


Physician Assistant Nurses in Tulare, CA

John Ya-li Wu, PA-C
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Mr. Jed D. Grant, PA-C
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Mr. Daniel P Flores, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 869 N Cherry St, Tulare, CA 93274
Phone: 559-688-0821    

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.