Mary A Carlisle, CRNA in San Jose, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Mary A Carlisle, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in San Jose, California. She graduated from nursing school 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 Permanente Medical Group Inc and her current practice location is 250 Hospital Pkwy, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 972-6320.

Mary A Carlisle is licensed to practice in California (license number NA3278) 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 1154353928.

Contact Information

	Mary A Carlisle, CRNA
	250 Hospital Pkwy, San Jose, CA 95119-1103
	(408) 972-6320
	Not Available

Map and Direction

Provider's Profile

Full Name	Mary A Carlisle
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	19 Years
Location	250 Hospital Pkwy, San Jose, 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:

Mary A Carlisle graduated from nursing school in 2005

NPI Data:

NPI Number: 1154353928
Provider Enumeration Date: 07/06/2006
Last Update Date: 02/25/2009

Medicare PECOS Information:

PECOS PAC ID: 4284653064
Enrollment ID: I20051122000497

Medical Identifiers

Medical identifiers for Mary A Carlisle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154353928	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	NA3278 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8376

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. Mary A Carlisle allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

Entity Name	Apa Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700596111 PECOS PAC ID: 7315303476 Enrollment ID: O20230515002560

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. Mary A Carlisle 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
Mary A Carlisle, CRNA 211 Oak Wood Way, Los Gatos, CA 95032-2523 Ph: (310) 600-9698	Mary A Carlisle, CRNA 250 Hospital Pkwy, San Jose, CA 95119-1103 Ph: (408) 972-6320

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
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

Mary A Carlisle, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in San Jose, CA