Anthony Loren Miranda, MD in Davis, CA - Medicare Internal Medicine

Anthony Loren Miranda, MD is a medicare enrolled "Internal Medicine" physician in Davis, California. His current practice location is 2660 W Covell Blvd, Davis, California. You can reach out to his office (for appointments etc.) via phone at (530) 747-3000.

Anthony Loren Miranda is licensed to practice in California (license number C165064) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245499078.

Contact Information

	Anthony Loren Miranda, MD
	2660 W Covell Blvd, Davis, CA 95616-5645
	(530) 747-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Anthony Loren Miranda
Gender	Male
Speciality	Internal Medicine
Location	2660 W Covell Blvd, Davis, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245499078
Provider Enumeration Date: 06/06/2008
Last Update Date: 10/05/2021

Medicare PECOS Information:

PECOS PAC ID: 6406097567
Enrollment ID: I20130801000337

Medical Identifiers

Medical identifiers for Anthony Loren Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245499078	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	070199 (Georgia)	Secondary
207R00000X	Internal Medicine	C165064 (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. Anthony Loren Miranda allows following entities to bill medicare on his behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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. Anthony Loren 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
Anthony Loren Miranda, MD 2660 W Covell Blvd, Davis, CA 95616-5645 Ph: (530) 747-3000	Anthony Loren Miranda, MD 2660 W Covell Blvd, Davis, CA 95616-5645 Ph: (530) 747-3000

Reviews and Comments

Internal Medicine Doctors in Davis, CA

David A. Dycaico, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1955 Cowell Blvd, Davis, CA 95616 Phone: 916-757-7100
Mychall Raymond Columna Pagulayan-sy, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2660 W Covell Blvd Ste Ab&c, Davis, CA 95616 Phone: 530-747-3000
Dr. Jafar Alsaid, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2009 Baywood Ln, Davis, CA 95618 Phone: 925-997-4483
Daniel J Kennedy, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1637 Westshore St, Davis, CA 95616 Phone: 530-756-3009
Mrs. Elisabeth Abdin, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2030 Sutter Place, Suite 1000, Davis, CA 95616 Phone: 530-750-5904 Fax: 530-750-5905
Lynn Marie Mcalister, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2000 Sutter Pl, Davis, CA 95616 Phone: 530-750-5226
Dr. Stephen A. Mccurdy, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: One Shields Ave., Davis, CA 95616 Phone: 530-752-8051 Fax: 530-752-3239

Anthony Loren Miranda, MD - Medicare Internal Medicine in Davis, CA