Ms Myra F Mardis, CRNA in Stanford, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Ms Myra F Mardis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Stanford, California. She graduated from nursing school in 2004 and has 22 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Commonwealth Anesthesia, Psc, Anesthesia Dynamics Llc, Anesthesiology Group Associates Pc and her current practice location is 300 Pasteur Dr, Stanford, California. You can reach out to her office (for appointments etc.) via phone at (650) 723-4000.

Ms Myra F Mardis is licensed to practice in California (license number 95002717) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164430062.

Contact Information

	Ms Myra F Mardis, CRNA
	300 Pasteur Dr, Stanford, CA 94305-2200
	(650) 723-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Myra F Mardis
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	22 Years
Location	300 Pasteur Dr, Stanford, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Myra F Mardis graduated from nursing school in 2004

NPI Data:

NPI Number: 1164430062
Provider Enumeration Date: 08/04/2006
Last Update Date: 06/08/2026

Medicare PECOS Information:

PECOS PAC ID: 6305890419
Enrollment ID: I20160210001751

Medical Identifiers

Medical identifiers for Ms Myra F Mardis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164430062	NPI	-	NPPES
000000354962	Other	OH	ANTHEM
2540576	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN286402 (Ohio)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	95002717 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension St Vincent Evansville	Evansville, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Commonwealth Anesthesia, Psc	5092627521	179
Anesthesia Dynamics Llc	3779832530	860
Anesthesiology Group Associates Pc	0547233959	47

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. Ms Myra F Mardis allows following entities to bill medicare on her behalf.

Entity Name	Commonwealth Anesthesia, Psc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437196300 PECOS PAC ID: 5092627521 Enrollment ID: O20031104000115

Entity Name	Northstar Anesthesia Of Kentucky, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386938900 PECOS PAC ID: 8628248069 Enrollment ID: O20110823000443

Entity Name	Anesthesia Dynamics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20210104001507

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. Ms Myra F Mardis 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
Ms Myra F Mardis, CRNA 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000	Ms Myra F Mardis, CRNA 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Stanford, CA

Kevin Matoke Ogutu, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Kana Watanabe, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-498-3333
Anthony Trejo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Ray Roazol, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Kristy Autumn Nathan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Kevin Lok, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Martin Thanh Nguyen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000

Ms Myra F Mardis, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Stanford, CA