Mrs Carol S Mirus, is a
Registered Nurse - Psychiatric/mental Health based in Panama City, Florida. Mrs Carol S Mirus is licensed to practice in Florida (license number RN56361-2) and her current practice location is
1103 Fortune Ave, Panama City, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 769-6188.
NPI number for Mrs Carol S Mirus is 1194889790 and her current mailing address is 1103 Fortune Ave, Panama City, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194889790.
Healthcare Provider's Profile
Full Name | Mrs Carol S Mirus |
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Gender | Female |
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Speciality | Registered Nurse - Psychiatric/mental Health |
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Location | 1103 Fortune Ave, Panama City, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194889790
- Provider Enumeration Date: 12/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Carol S Mirus such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194889790 | NPI | - | NPPES |
Z2167 | Other | FL | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MT1140 (Florida) | Primary |
163WP0808X | Registered Nurse - Psychiatric/mental Health | RN56361-2 (Florida) | 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. Mrs Carol S Mirus is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Carol S Mirus, 1103 Fortune Ave, Panama City, FL 32401-1831 Ph: (850) 769-6188 | Mrs Carol S Mirus, 1103 Fortune Ave, Panama City, FL 32401-1831 Ph: (850) 769-6188 |
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