Victoria Lucille Miranda, MS, RD, CPT in Bay Shore, NY - Medicare Dietitian, Registered Provider

Victoria Lucille Miranda, MS, RD, CPT is a medicare enrolled "Dietitian, Registered" provider in Bay Shore, New York. Her current practice location is 250 E Main St, Bay Shore, New York. You can reach out to her office (for appointments etc.) via phone at (631) 390-7100.

Victoria Lucille Miranda is licensed to practice in New York (license number 86066679) 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 1154092534.

Contact Information

	Victoria Lucille Miranda, MS, RD, CPT
	250 E Main St, Bay Shore, NY 11706-8442
	(631) 390-7100
	(631) 390-7128

Map and Direction

Healthcare Provider's Profile

Full Name	Victoria Lucille Miranda
Gender	Female
Speciality	Dietitian, Registered
Location	250 E Main St, Bay Shore, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154092534
Provider Enumeration Date: 09/24/2021
Last Update Date: 09/24/2021

Medicare PECOS Information:

PECOS PAC ID: 6305214057
Enrollment ID: I20221130001769

Medical Identifiers

Medical identifiers for Victoria Lucille Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154092534	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86066679 (New York)	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. Victoria Lucille Miranda allows following entities to bill medicare on her behalf.

Provider Name	North Shore - Lij Medical Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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. Victoria Lucille 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
Victoria Lucille Miranda, MS, RD, CPT 250 E Main St, Bay Shore, NY 11706-8442 Ph: (631) 390-7100	Victoria Lucille Miranda, MS, RD, CPT 250 E Main St, Bay Shore, NY 11706-8442 Ph: (631) 390-7100

Reviews and Comments

Dietitian, Registered in Bay Shore, NY

Jenna Bannon, MS, RD, CDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3593
Danielle Lee Deluca, R.D., C.D.N. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-987-4978
Daniela Contreras Enciso, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5 Woodbine Ave, Bay Shore, NY 11706 Phone: 631-418-4125
Alexa Rae Ardito, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 25 Ridgeway Blvd, Bay Shore, NY 11706 Phone: 631-697-7431
Megan Smith, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15 Park Ave, Bay Shore, NY 11706 Phone: 631-376-3699
Empowered Beast Nutrition Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1432 E Forks Rd, Bay Shore, NY 11706 Phone: 646-243-2868

Victoria Lucille Miranda, MS, RD, CPT - Medicare Dietitian in Bay Shore, NY