Marilou Vendiola Kokmeyer, CRNA, MS in San Jose, CA - Medicare Nurse Anesthetist, Certified Registered

Marilou Vendiola Kokmeyer, CRNA, MS is a medicare enrolled "Nurse Anesthetist, Certified Registered" in San Jose, California. Her current practice location is 250 Hospital Parkway, Department Of Anesthesia, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 972-7133.

Marilou Vendiola Kokmeyer is licensed to practice in California (license number 429197) 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 1588721385.

Contact Information

	Marilou Vendiola Kokmeyer, CRNA, MS
	250 Hospital Parkway, Department Of Anesthesia, San Jose, CA 95119
	(408) 972-7133
	(408) 972-7662

Map and Direction

Provider's Profile

Full Name	Marilou Vendiola Kokmeyer
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	250 Hospital Parkway, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588721385
Provider Enumeration Date: 01/02/2007
Last Update Date: 12/15/2021

Medicare PECOS Information:

PECOS PAC ID: 9830173046
Enrollment ID: I20040615001700

Medical Identifiers

Medical identifiers for Marilou Vendiola Kokmeyer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588721385	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	429197 (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. Marilou Vendiola Kokmeyer allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

Entity Name	Mission Nursing Anesthesia Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932571551 PECOS PAC ID: 9436459278 Enrollment ID: O20151130000657

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. Marilou Vendiola Kokmeyer 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
Marilou Vendiola Kokmeyer, CRNA, MS 1367 Ferrel Ct, San Jose, CA 95132-2371 Ph: (408) 272-1190	Marilou Vendiola Kokmeyer, CRNA, MS 250 Hospital Parkway, Department Of Anesthesia, San Jose, CA 95119 Ph: (408) 972-7133

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in San Jose, CA

Tiassa Lena Powell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-3000
Mrs. Melinda K Moye, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, Anesthesiology Dept, San Jose, CA 95128 Phone: 408-793-6515 Fax: 408-885-7307
Lindsay Bradley, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-3000
Mary A Carlisle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-6320
Anna Leonidovna Bibergal, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000
Angela Marie Sperry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, Anesthesiology Dept, San Jose, CA 95128 Phone: 408-885-5745
Jennifer R Davoudi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 250 Hospital Pkwy, San Jose, CA 95119 Phone: 408-972-6320

Marilou Vendiola Kokmeyer, CRNA, MS - Medicare Nurse Anesthetist, Certified Registered in San Jose, CA