Charlene Weitz, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fountain Valley, California. Her current practice location is
11362 Warner Ave, Fountain Valley, California. You can reach out to her office (for appointments etc.) via phone at
(714) 546-7676.
Charlene Weitz is licensed to practice in California (license number 291035) 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 1336448430.
Provider's Profile
Full Name | Charlene Weitz |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 11362 Warner Ave, Fountain Valley, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336448430
- Provider Enumeration Date: 03/15/2011
- Last Update Date: 01/10/2012
Medicare PECOS Information:
- PECOS PAC ID: 6406818939
- Enrollment ID: I20041027001247
Medical Identifiers
Medical identifiers for Charlene Weitz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336448430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 291035 (California) | 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. Charlene Weitz allows following entities to bill medicare on her behalf.
Entity Name | Ana Chu Md A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952509440 PECOS PAC ID: 2668573668 Enrollment ID: O20090715000699 |
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Entity Name | Anesthesia Snooz Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013250729 PECOS PAC ID: 1850533183 Enrollment ID: O20130815000352 |
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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. Charlene Weitz 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 |
Charlene Weitz, CRNA 11362 Warner Ave, Fountain Valley, CA 92708-4121 Ph: (714) 546-7676 | Charlene Weitz, CRNA 11362 Warner Ave, Fountain Valley, CA 92708-4121 Ph: (714) 546-7676 |
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