Andrew Mirocke, MD - Medicare Emergency Medicine in Jonesboro, AR

Andrew Mirocke, MD is a medicare enrolled "Emergency Medicine" physician in Jonesboro, Arkansas. He graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice St Bernards Hospital Inc., Southeastern Emergency Physicians Llc, Southeastern Emergency Physicians Llc and his current practice location is 225 E Jackson Ave, Jonesboro, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 207-4100.

Andrew Mirocke is licensed to practice in Michigan (license number 4301115689) 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 1174017958.

Contact Information

Andrew Mirocke, MD
225 E Jackson Ave,
Jonesboro, AR 72401-3119
(870) 207-4100
Not Available

Map and Direction




Physician's Profile

Full NameAndrew Mirocke
GenderMale
SpecialityEmergency Medicine
Experience7 Years
Location225 E Jackson Ave, Jonesboro, Arkansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Andrew Mirocke graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1174017958
  • Provider Enumeration Date: 06/15/2018
  • Last Update Date: 04/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0446507677
  • Enrollment ID: I20210726001045

Medical Identifiers

Medical identifiers for Andrew Mirocke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174017958NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 58430 (Kentucky)Secondary
207P00000XEmergency Medicine 4301115689 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Health MadisonvilleMadisonville, KYHospital
Baptist Health PaducahPaducah, KYHospital
St Marys Regional Medical CenterRussellville, ARHospital
Tj Health ColumbiaColumbia, KYHospital
T J Samson Community HospitalGlasgow, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Bernards Hospital Inc.0941105480150
Southeastern Emergency Physicians Llc2466364997516
Southeastern Emergency Physicians Llc2466364997516

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. Andrew Mirocke allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050418001201
Entity NameSt Bernards Hospital Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396053096
PECOS PAC ID: 0941105480
Enrollment ID: O20101123000105

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. Andrew Mirocke 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 AddressPractice Location Address
Andrew Mirocke, MD
225 E Jackson Ave,
Jonesboro, AR 72401-3119

Ph: (870) 207-4100
Andrew Mirocke, MD
225 E Jackson Ave,
Jonesboro, AR 72401-3119

Ph: (870) 207-4100

Reviews and Comments


Emergency Medicine Doctors in Jonesboro, AR

Mark M Smith, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401
Phone: 870-972-4145    
William C Mcbryde, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401
Phone: 870-972-4145    
Alfred Nesaraj, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 225 E Washington Ave, Jonesboro, AR 72401
Phone: 870-207-4100    
Danny Eugene Grubbs, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3202 Methodist Dr, Jonesboro, AR 72401
Phone: 870-932-2221    Fax: 870-931-3229
Jeremy Jeffrey Cohen, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 225 E Washington Ave, Jonesboro, AR 72401
Phone: 870-974-3188    
Alexander W Dunlap, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 225 E Jackson Ave, Jonesboro, AR 72401
Phone: 870-972-4145    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.