Justine Ann Miranda, MA in San Diego, CA - Medicare Counselor Provider

Justine Ann Miranda, MA is a medicare enrolled "Counselor - Mental Health" provider in San Diego, California. Her current practice location is 4125 Alpha St Ste E-g, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 266-0166.

Justine Ann Miranda is licensed to practice in California (license number IMF88506) 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 1285040709.

Contact Information

	Justine Ann Miranda, MA
	4125 Alpha St Ste E-g, San Diego, CA 92113-4553
	(619) 266-0166
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Justine Ann Miranda
Gender	Female
Speciality	Counselor - Mental Health
Location	4125 Alpha St Ste E-g, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285040709
Provider Enumeration Date: 07/03/2014
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 4587000195
Enrollment ID: I20240306000462

Medical Identifiers

Medical identifiers for Justine Ann Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285040709	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	IMF88506 (California)	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. Justine Ann Miranda allows following entities to bill medicare on her behalf.

Entity Name	Centro De Salud De La Comunidad De San Ysidro, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711

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. Justine Ann Miranda 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
Justine Ann Miranda, MA 2141 Honey Dr Apt 99, San Diego, CA 92139-2147 Ph: (619) 906-0141	Justine Ann Miranda, MA 4125 Alpha St Ste E-g, San Diego, CA 92113-4553 Ph: (619) 266-0166

Reviews and Comments

Counselor in San Diego, CA

Dione Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2865 Logan Ave, San Diego, CA 92113 Phone: 619-232-4357 Fax: 619-232-7048
Marva Albertha Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4335 Swift Ave, San Diego, CA 92104 Phone: 619-358-5665 Fax: 619-358-5665
Susan Elizabeth Mcdowell, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1250 Morena Blvd, San Diego, CA 92110 Phone: 619-692-8715
Gina Ballestreos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2535 Kettner Blvd, Suite 1a4, San Diego, CA 92101 Phone: 619-615-0701 Fax: 619-615-0705
Alissa Ann Maitino, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 734 10th Ave, San Diego, CA 92101 Phone: 619-239-4663 Fax: 619-239-3045
Margaret Knight, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3665 Kearny Villa Rd, San Diego, CA 92123 Phone: 858-576-1700
Amanda Garrison, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9445 Farnham St, Suite100, San Diego, CA 92123 Phone: 858-380-4676

Justine Ann Miranda, MA - Medicare Counselor in San Diego, CA