Wilbert Tirtadinata, - Medicare Certified Registered Nurse Anesthetist (crna) in Oakland, CA

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Wilbert Tirtadinata, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Oakland, California. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Blue Eagle Anesthesia Inc A Professional Corporation, Permanente Medical Group Inc, In Somno Securitas A Professional Nursing Corporation and his current practice location is 3600 Broadway, Oakland, California. You can reach out to his office (for appointments etc.) via phone at (510) 752-1000.

Wilbert Tirtadinata is licensed to practice in California (license number 95002000) 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 1578177630.

Contact Information

Wilbert Tirtadinata,
3600 Broadway,
Oakland, CA 94611-5730
(510) 752-1000
Not Available

Map and Direction




Provider's Profile

Full NameWilbert Tirtadinata
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience4 Years
Location3600 Broadway, Oakland, 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:
  • Wilbert Tirtadinata graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1578177630
  • Provider Enumeration Date: 09/04/2020
  • Last Update Date: 03/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0941667851
  • Enrollment ID: I20230608001585

Medical Identifiers

Medical identifiers for Wilbert Tirtadinata such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578177630NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 95002000 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kaiser Foundation Hospital - Oakland/richmondOakland, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Blue Eagle Anesthesia Inc A Professional Corporation357761301724
Permanente Medical Group Inc892191022510928
In Somno Securitas A Professional Nursing Corporation670927135615

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. Wilbert Tirtadinata allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameBlue Eagle Anesthesia Inc a Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396822326
PECOS PAC ID: 3577613017
Enrollment ID: O20090604000185
Entity NameAmsurg Oakland Anesthesia LP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679847727
PECOS PAC ID: 8224292123
Enrollment ID: O20120605000461
Entity NameIn Somno Securitas a Professional Nursing Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114686631
PECOS PAC ID: 6709271356
Enrollment ID: O20220316003933

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. Wilbert Tirtadinata 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
Wilbert Tirtadinata,
3600 Broadway,
Oakland, CA 94611-5730

Ph: (510) 752-1000		Wilbert Tirtadinata,
3600 Broadway,
Oakland, CA 94611-5730

Ph: (510) 752-1000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Oakland, CA

Diana Hiros, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611
Phone: 510-752-6238    
Annette Chenevey, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611
Phone: 510-752-6238    
Indermeet Dhaliwal, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Telegraph Ave Ste 350, Oakland, CA 94609
Phone: 209-679-7265    
David P Birch, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611
Phone: 510-752-6238    
Juliana Pastore, BSN, RN, CCRN
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Telegraph Ave, Oakland, CA 94609
Phone: 800-607-6377    
Noelle Hennig,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Telegraph Ave, Oakland, CA 94609
Phone: 510-879-9200    
Sandra Sue Schmit, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 280 W Macarthur Blvd, Oakland, CA 94611
Phone: 510-752-6238    

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.