Carrie Denise Mikkelson-heredia, CRNA in Beverly Hills, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Carrie Denise Mikkelson-heredia, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Beverly Hills, California. She went to University Of Southern California Keck School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Sunset Anesthesia Group A Professional Nursing Corporation and her current practice location is 450 N Roxbury Dr, Suite 600, Beverly Hills, California. You can reach out to her office (for appointments etc.) via phone at (310) 651-2280.

Carrie Denise Mikkelson-heredia is licensed to practice in California (license number 3288) 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 1649345760.

Contact Information

	Carrie Denise Mikkelson-heredia, CRNA
	450 N Roxbury Dr, Suite 600, Beverly Hills, CA 90210-4232
	(310) 651-2280
	(310) 651-2260

Map and Direction

Provider's Profile

Full Name	Carrie Denise Mikkelson-heredia
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	19 Years
Location	450 N Roxbury Dr, Beverly Hills, 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:

Carrie Denise Mikkelson-heredia attended and graduated from University Of Southern California Keck School Of Medicine in 2005

NPI Data:

NPI Number: 1649345760
Provider Enumeration Date: 11/22/2006
Last Update Date: 07/16/2015

Medicare PECOS Information:

PECOS PAC ID: 8729163159
Enrollment ID: I20080310000683

Medical Identifiers

Medical identifiers for Carrie Denise Mikkelson-heredia such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649345760	NPI	-	NPPES
508419	Other	CA	STATE LICENSE NURSE
074093	Other	CA	CCNA CERTIFICATION
3288	Other	CA	NURSE ANESTHETIST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	3288 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sunset Anesthesia Group A Professional Nursing Corporation	2769842293	3

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. Carrie Denise Mikkelson-heredia allows following entities to bill medicare on her behalf.

Entity Name	County Of Los Angeles
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218

Entity Name	Vaporworks Nursing Anesthesia Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285939397 PECOS PAC ID: 5991989964 Enrollment ID: O20110415000499

Entity Name	Precision Anesthesia Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205253929 PECOS PAC ID: 6204145105 Enrollment ID: O20151015001459

Entity Name	Sunset Anesthesia Group A Professional Nursing Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932891678 PECOS PAC ID: 2769842293 Enrollment ID: O20230717000380

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. Carrie Denise Mikkelson-heredia 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
Carrie Denise Mikkelson-heredia, CRNA 450 N Roxbury Dr, Suite 600, Beverly Hills, CA 90210-4232 Ph: (310) 651-2280	Carrie Denise Mikkelson-heredia, CRNA 450 N Roxbury Dr, Suite 600, Beverly Hills, CA 90210-4232 Ph: (310) 651-2280

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Beverly Hills, CA

Ms. Eva Silegy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 465 N. Roxbury Drive, Beverly Hills, CA 90210 Phone: 310-622-5369 Fax: 310-247-9732
Laleh Amaya, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 450 N Roxbury Dr, Suite 600, Beverly Hills, CA 90210 Phone: 310-651-2280 Fax: 310-651-2260
Mr. Robert A Olson, CRNA, M.S Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 450 N Roxbury Dr, Suite 600, Beverly Hills, CA 90210 Phone: 310-651-2280 Fax: 310-651-2260
Holland Breath Mcguire, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8670 Wilshire Blvd Ste 300, Beverly Hills, CA 90211 Phone: 102-751-6463 Fax: 310-275-4294
Deborah J Frutkin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 450 N Roxbury Dr, Suite 600, Beverly Hills, CA 90210 Phone: 310-651-2280 Fax: 310-651-2260
Elizabeth Wong, C R N A Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 435 N Roxbury Dr, 104, Beverly Hills, CA 90210 Phone: 310-278-1839 Fax: 310-278-4320
Mr. David James Fournier, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 465 N Roxbury Dr Ste 802, Beverly Hills, CA 90210 Phone: 310-837-3712 Fax: 310-837-7240

Carrie Denise Mikkelson-heredia, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Beverly Hills, CA