Pride Tawanda Mudzwova, CRNA in Ann Arbor, MI - Medicare Nurse Anesthetist, Certified Registered

Pride Tawanda Mudzwova, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ann Arbor, Michigan. His current practice location is 1500 E Medical Center Dr, Ann Arbor, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 936-4000.

Pride Tawanda Mudzwova is licensed to practice in Michigan (license number 4704317089) 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 1730729740.

Contact Information

	Pride Tawanda Mudzwova, CRNA
	1500 E Medical Center Dr, Ann Arbor, MI 48109-5000
	(734) 936-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Pride Tawanda Mudzwova
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1500 E Medical Center Dr, Ann Arbor, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730729740
Provider Enumeration Date: 01/08/2020
Last Update Date: 01/09/2023

Medicare PECOS Information:

PECOS PAC ID: 1254702285
Enrollment ID: I20230130001002

Medical Identifiers

Medical identifiers for Pride Tawanda Mudzwova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730729740	NPI	-	NPPES
4704317089	Other	MI	NURSING LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704317089 (Michigan)	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. Pride Tawanda Mudzwova allows following entities to bill medicare on his behalf.

Entity Name	Regents Of The University Of Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205868353 PECOS PAC ID: 3779496856 Enrollment ID: O20031106000325

Entity Name	Regents Of The University Of Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528010428 PECOS PAC ID: 3779496856 Enrollment ID: O20031121000336

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. Pride Tawanda Mudzwova 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
Pride Tawanda Mudzwova, CRNA 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299	Pride Tawanda Mudzwova, CRNA 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 Ph: (734) 936-4000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Ann Arbor, MI

Denise Lynn Berry, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Ashley Marie Dibardino, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Terrance Solan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Paula K Globerson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1500 East Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4280
Lawrence R Stump, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4280
Mary Catherine Downey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Dr, Ann Arbor, MI 48109 Phone: 734-936-4000
Renee Ann Shea, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 E Medical Center Drive, 1h247 University Hospital, Ann Arbor, MI 48109 Phone: 734-936-4280

Pride Tawanda Mudzwova, CRNA - Medicare Nurse Anesthetist, Certified Registered in Ann Arbor, MI