Omar Lee Miranda, MED is a
Counselor - Mental Health based in Plainville, Georgia. Omar Lee Miranda is licensed to practice in * (Not Available) (license number ) and his current practice location is
155 Earl St, Plainville, Georgia. He can be reached at his office (for appointments etc.) via phone at
(770) 354-2912.
NPI number for Omar Lee Miranda is 1134491962 and his current mailing address is 155 Earl St, Plainville, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1134491962.
Healthcare Provider's Profile
| Full Name | Omar Lee Miranda |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 155 Earl St, Plainville, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1134491962
- Provider Enumeration Date: 02/09/2012
- Last Update Date: 02/09/2012
Medical Identifiers
Medical identifiers for Omar Lee Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134491962 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | 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. Omar Lee Miranda 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 |
|---|
Omar Lee Miranda, MED
155 Earl St,
Plainville, GA 30733-9672
Ph: (770) 354-2912 | Omar Lee Miranda, MED
155 Earl St,
Plainville, GA 30733-9672
Ph: (770) 354-2912 |
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