Mr Michael T Mizuta, CRNA in Fort Lauderdale, FL - Medicare Nurse Anesthetist, Certified Registered

Mr Michael T Mizuta, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Lauderdale, Florida. His current practice location is 4725 N Federal Highway, American Anesthesiology Services Of Florida, Inc., Fort Lauderdale, Florida. You can reach out to his office (for appointments etc.) via phone at (954) 493-5005.

Mr Michael T Mizuta is licensed to practice in Florida (license number ARNP9441386) 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 1922480896.

Contact Information

	Mr Michael T Mizuta, CRNA
	4725 N Federal Highway, American Anesthesiology Services Of Florida, Inc., Fort Lauderdale, FL 33308-4603
	(954) 493-5005
	(954) 938-0957

Map and Direction

Provider's Profile

Full Name	Mr Michael T Mizuta
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	4725 N Federal Highway, Fort Lauderdale, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922480896
Provider Enumeration Date: 06/26/2015
Last Update Date: 10/25/2017

Medicare PECOS Information:

PECOS PAC ID: 6305152034
Enrollment ID: I20150826001021

Medical Identifiers

Medical identifiers for Mr Michael T Mizuta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922480896	NPI	-	NPPES
018674700	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	720891 (California)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	ARNP9441386 (Florida)	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. Mr Michael T Mizuta allows following entities to bill medicare on his behalf.

Entity Name	Amsurg South Bay Anesthesia Lp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811230022 PECOS PAC ID: 4082853411 Enrollment ID: O20130617000101

Entity Name	Tip Top Anesthesia Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508283698 PECOS PAC ID: 0941429872 Enrollment ID: O20140908002508

Entity Name	Synergy Anesthesia A Professional Nursing Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578283305 PECOS PAC ID: 1850761115 Enrollment ID: O20221230001747

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. Mr Michael T Mizuta 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
Mr Michael T Mizuta, CRNA Po Box 551420, Fort Lauderdale, FL 33355-1420 Ph: (800) 243-3839	Mr Michael T Mizuta, CRNA 4725 N Federal Highway, American Anesthesiology Services Of Florida, Inc., Fort Lauderdale, FL 33308-4603 Ph: (954) 493-5005

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Lauderdale, FL

Mary Elizabeth Mcnerney, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4725 N Federal Hwy, Fort Lauderdale, FL 33308 Phone: 954-771-8000
Barbara L Kenney, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5757 North Dixie Highway, C/o North Ridge Medical Center, Fort Lauderdale, FL 33334 Phone: 954-776-6000
Kevin Pittman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 South Andrews Ave, Broawrd General Medical Center, Fort Lauderdale, FL 33316 Phone: 954-355-4400
Olga Gay, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1600 S Andrews Ave, Fort Lauderdale, FL 33316 Phone: 954-355-4400
Mr. Louis Mark Labarbera, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3601 W Commercial Blvd, Ste 5, Fort Lauderdale, FL 33309 Phone: 305-485-5666 Fax: 954-484-1651
Curtiss Cherrnay, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 S Andrews Ave, Broward General Medical Center, Fort Lauderdale, FL 33316 Phone: 954-355-4400
Kristen Hasty, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6401 N Federal Hwy, Fort Lauderdale, FL 33308 Phone: 954-776-8500

Mr Michael T Mizuta, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fort Lauderdale, FL