Marissa Mulder, CRNA in Scottsdale, AZ - Medicare Nurse Anesthetist, Certified Registered

Marissa Mulder, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Scottsdale, Arizona. Her current practice location is 9500 E Ironwood Square Dr, Scottsdale, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 626-2552.

Marissa Mulder is licensed to practice in Arizona (license number 280087) 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 1851011852.

Contact Information

	Marissa Mulder, CRNA
	9500 E Ironwood Square Dr, Scottsdale, AZ 85258-4582
	(480) 626-2552
	(482) 626-2552

Map and Direction

Provider's Profile

Full Name	Marissa Mulder
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	9500 E Ironwood Square Dr, Scottsdale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851011852
Provider Enumeration Date: 08/30/2022
Last Update Date: 12/21/2022

Medicare PECOS Information:

PECOS PAC ID: 5890161244
Enrollment ID: I20221026001825

Medical Identifiers

Medical identifiers for Marissa Mulder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851011852	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	280087 (Arizona)	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. Marissa Mulder allows following entities to bill medicare on her behalf.

Entity Name	Dec Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093006520 PECOS PAC ID: 9335319086 Enrollment ID: O20110907001087

Entity Name	Del Anesthesia Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053653600 PECOS PAC ID: 4688801517 Enrollment ID: O20131220000414

Entity Name	Integrated Pain Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538612965 PECOS PAC ID: 4284922204 Enrollment ID: O20161006002055

Entity Name	Summit Anesthesia Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821589144 PECOS PAC ID: 3971850892 Enrollment ID: O20180724002694

Entity Name	Desert Anesthesia Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750013223 PECOS PAC ID: 8729461207 Enrollment ID: O20220816001930

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. Marissa Mulder 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
Marissa Mulder, CRNA 9259 W Denton Ln, Glendale, AZ 85305-3303 Ph: (916) 955-4725	Marissa Mulder, CRNA 9500 E Ironwood Square Dr, Scottsdale, AZ 85258-4582 Ph: (480) 626-2552

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Scottsdale, AZ

Brett Tolpa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000
Gina Munson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000
Michael Moskowitz, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000
Christopher David Hess, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000
Edna Kemboi, DNAP CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 Fax: 904-953-0115
Paul Jordan Stievo, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 13400 E. Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000
Gertrude F Neill, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6906 E Exeter Blvd, Scottsdale, AZ 85251 Phone: 239-000-0000

Marissa Mulder, CRNA - Medicare Nurse Anesthetist, Certified Registered in Scottsdale, AZ