Nana Mimura, MD - Medicare Internal Medicine in Tampa, FL

Nana Mimura, MD is a medicare enrolled "Internal Medicine" physician in Tampa, Florida. She graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Internal Medicine. Her current practice location is 3030 N Rocky Point Dr W, Ste 670, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 597-0583.

Nana Mimura is licensed to practice in Florida (license number ME111706) 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 1568563625.

Contact Information

Nana Mimura, MD
3030 N Rocky Point Dr W, Ste 670,
Tampa, FL 33607-5803
(239) 597-0583
(239) 597-5628

Map and Direction




Physician's Profile

Full NameNana Mimura
GenderFemale
SpecialityInternal Medicine
Experience32 Years
Location3030 N Rocky Point Dr W, Tampa, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nana Mimura graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1568563625
  • Provider Enumeration Date: 09/25/2006
  • Last Update Date: 05/24/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 9537175658
  • Enrollment ID: I20141114001212

Medical Identifiers

Medical identifiers for Nana Mimura such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568563625NPI-NPPES
110E011830OtherMISCHOENHERR BCBS GR PIN
4749053MedicaidMI
700E001650OtherMIWARREN BCBS GR PIN
1105009572OtherMABCBSMI PERSONAL PIN
200158731OtherMIWARREN TAX ID
381898230OtherMISCHOENHERR TAX ID
ME111706OtherFLFLORIDA MEDICAL LICENSE
4216940MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 4301065734 (Michigan)Secondary
207R00000XInternal Medicine ME111706 (Florida)Primary
208M00000XHospitalist ME111706 (Florida)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Preferred Care Home Health ServicesFort myers, FLHome health agency
Mederi CaretendersFort myers, FLHome health agency
Avow Hospice IncNaples, FLHospice

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. Nana Mimura allows following entities to bill medicare on her behalf.
Entity NameInpatient Consultants Of Florida, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396795597
PECOS PAC ID: 4789614785
Enrollment ID: O20050819000018
Entity NameRenewal Geriatric Primary Care Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831661222
PECOS PAC ID: 9234470808
Enrollment ID: O20190408002828

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. Nana Mimura 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
Nana Mimura, MD
3030 N Rocky Point Dr W, Ste 670,
Tampa, FL 33607-5803

Ph: (813) 289-6597
Nana Mimura, MD
3030 N Rocky Point Dr W, Ste 670,
Tampa, FL 33607-5803

Ph: (239) 597-0583

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.