Dr My Phuong Nguyen Mitarai, MD - Medicare Emergency Medicine in San Jose, CA

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Dr My Phuong Nguyen Mitarai, MD is a medicare enrolled "Emergency Medicine" physician in San Jose, California. Her current practice location is 751 S Bascom Ave, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 885-6990.

Dr My Phuong Nguyen Mitarai is licensed to practice in Maryland (license number 521403415) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639285984.

Contact Information

Dr My Phuong Nguyen Mitarai, MD
751 S Bascom Ave,
San Jose, CA 95128-2604
(408) 885-6990
Not Available

Map and Direction




Physician's Profile

Full NameDr My Phuong Nguyen Mitarai
GenderFemale
SpecialityEmergency Medicine
Location751 S Bascom Ave, San Jose, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639285984
  • Provider Enumeration Date: 08/21/2006
  • Last Update Date: 10/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9032119177
  • Enrollment ID: I20080116000747

Medical Identifiers

Medical identifiers for Dr My Phuong Nguyen Mitarai such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639285984NPI-NPPES
410852300MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine A97854 (California)Secondary
207P00000XEmergency Medicine 521403415 (Maryland)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. Dr My Phuong Nguyen Mitarai allows following entities to bill medicare on her behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520
Entity NameCounty Of Santa Clara
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699885079
PECOS PAC ID: 1254244973
Enrollment ID: O20040113000784

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. Dr My Phuong Nguyen Mitarai 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
Dr My Phuong Nguyen Mitarai, MD
1021 W Iowa Ave,
Sunnyvale, CA 94086-7403

Ph: (408) 732-7691		Dr My Phuong Nguyen Mitarai, MD
751 S Bascom Ave,
San Jose, CA 95128-2604

Ph: (408) 885-6990

Reviews and Comments


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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.