Dr Jevon Chris Mitsuoka, PHARMD, PA-C is a medicare enrolled "Physician Assistant - Medical" provider in Valencia, California. His current practice location is
29351 Madeira Ln, Valencia, California. You can reach out to his office (for appointments etc.) via phone at
(661) 775-7737.
Dr Jevon Chris Mitsuoka is licensed to practice in California (license number 17474) 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 1215928171.
Healthcare Provider's Profile
| Full Name | Dr Jevon Chris Mitsuoka |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 29351 Madeira Ln, Valencia, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jevon Chris Mitsuoka attended and graduated from in
NPI Data:
- NPI Number: 1215928171
- Provider Enumeration Date: 10/31/2005
- Last Update Date: 09/25/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jevon Chris Mitsuoka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215928171 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 51802 (California) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 17474 (California) | Primary |
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. Dr Jevon Chris Mitsuoka 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 |
|---|
Dr Jevon Chris Mitsuoka, PHARMD, PA-C
29351 Madeira Ln,
Valencia, CA 91354-1598
Ph: (661) 775-7737 | Dr Jevon Chris Mitsuoka, PHARMD, PA-C
29351 Madeira Ln,
Valencia, CA 91354-1598
Ph: (661) 775-7737 |
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