Ericson Mutsuo Hirose, PA - Medicare Physician Assistant in Fresno, CA

Ericson Mutsuo Hirose, PA is a medicare enrolled "Physician Assistant - Medical" in Fresno, California. His current practice location is 2823 Fresno St, Fresno, California. You can reach out to his office (for appointments etc.) via phone at (559) 443-2682.

Ericson Mutsuo Hirose is licensed to practice in California (license number 61760) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003484650.

Contact Information

Ericson Mutsuo Hirose, PA
2823 Fresno St,
Fresno, CA 93721-1324
(559) 443-2682
(559) 443-2681

Map and Direction




Provider's Profile

Full NameEricson Mutsuo Hirose
GenderMale
SpecialityPhysician Assistant - Medical
Location2823 Fresno St, Fresno, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003484650
  • Provider Enumeration Date: 06/10/2021
  • Last Update Date: 11/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1355717711
  • Enrollment ID: I20221026002436

Medical Identifiers

Medical identifiers for Ericson Mutsuo Hirose such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003484650NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 61760 (California)Secondary
363AS0400XPhysician Assistant - Surgical 61760 (California)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
363AM0700XPhysician Assistant - Medical 61760 (California)Primary

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. Ericson Mutsuo Hirose 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
Ericson Mutsuo Hirose, PA
2625 E Divisadero St,
Fresno, CA 93721-1431

Ph: (559) 443-2682
Ericson Mutsuo Hirose, PA
2823 Fresno St,
Fresno, CA 93721-1324

Ph: (559) 443-2682

Reviews and Comments


Physician Assistant Nurses in Fresno, CA

Whitney Ann Johnson, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2823 Fresno St, Fresno, CA 93721
Phone: 559-499-6440    
Chandni T Patel,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 9715 N Willey Ct, Fresno, CA 93720
Phone: 559-260-9001    
William Joseph Johncox, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7152 N Sharon Ave Ste 102, Fresno, CA 93720
Phone: 559-432-6807    Fax: 559-432-6937
Rocio Patricia Naranjo, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7471 N Fresno St, Fresno, CA 93720
Phone: 559-436-4500    Fax: 559-436-0500
Charlene Kim Dang, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2823 Fresno St, Fresno, CA 93721
Phone: 559-459-3770    
Kelby Borchgrevink,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 3425 N 1st St, Fresno, CA 93726
Phone: 559-608-6581    

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.