Tanner Mixon, CRNA in Sacramento, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Tanner Mixon, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Sacramento, California. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Regents Of The Univ Of Ca and his current practice location is 2315 Stockton Blvd, Sacramento, California. You can reach out to his office (for appointments etc.) via phone at (916) 734-2011.

Tanner Mixon is licensed to practice in California (license number 95001358) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164962064.

Contact Information

	Tanner Mixon, CRNA
	2315 Stockton Blvd, Sacramento, CA 95817-2201
	(916) 734-2011
	Not Available

Map and Direction

Provider's Profile

Full Name	Tanner Mixon
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	8 Years
Location	2315 Stockton Blvd, Sacramento, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tanner Mixon graduated from nursing school in 2016

NPI Data:

NPI Number: 1164962064
Provider Enumeration Date: 02/27/2017
Last Update Date: 01/29/2021

Medicare PECOS Information:

PECOS PAC ID: 0547538340
Enrollment ID: I20210225001521

Medical Identifiers

Medical identifiers for Tanner Mixon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164962064	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	201701285CRNA (Oregon)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	95001358 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
University Of California Davis Medical Center	Sacramento, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Regents Of The Univ Of Ca	3375456619	1360

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. Tanner Mixon allows following entities to bill medicare on his 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	Regents Of The Univ Of Ca
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892

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. Tanner Mixon 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
Tanner Mixon, CRNA 1441 Kingsford Dr, Carmichael, CA 95608-6162 Ph: (662) 312-9522	Tanner Mixon, CRNA 2315 Stockton Blvd, Sacramento, CA 95817-2201 Ph: (916) 734-2011

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Sacramento, CA

Shannon Kentera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6600 Bruceville Rd, Sacramento, CA 95823 Phone: 916-688-7254
Kenneth D. Wheeler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4150 V St, Pssb-suite 1200, Med: Anesthesia, Sacramento, CA 95817 Phone: 916-734-7985 Fax: 916-734-2975
Thomas M. Goodnow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4150 V St, Pssb-suite 1200, Med: Anesthesia, Sacramento, CA 95817 Phone: 916-734-7985 Fax: 916-734-2975
Rasheed Ahmad Khan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-7696
Kimberly Beres, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4150 V Street, Pssb Ste 1200, Dept Of Anesthesiology And Pain Medicine, Sacramento, CA 95817 Phone: 916-734-5028 Fax: 916-734-2975
Mr. Lewis Lindley Dewitt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-7696
Ms. Tricia D. Ouchi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2315 Stockton Blvd., Sacramento, CA 95817 Phone: 916-734-5032

Tanner Mixon, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Sacramento, CA