Anthony Loren Miranda, MD - Medicare Internal Medicine in Jackson, GA

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Anthony Loren Miranda, MD is a medicare enrolled "Internal Medicine" physician in Jackson, Georgia. His current practice location is 239 Stony Brook Cir, Jackson, Georgia. You can reach out to his office (for appointments etc.) via phone at (209) 306-4796.

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
239 Stony Brook Cir,
Jackson, GA 30233-4571
(209) 306-4796
(478) 247-8448

Map and Direction




Physician's Profile

Full NameAnthony Loren Miranda
GenderMale
SpecialityInternal Medicine
Location239 Stony Brook Cir, Jackson, Georgia
Accepts Medicare AssignmentsMedicare 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: 11/21/2024
  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.
IdentifierTypeStateIssuer
1245499078NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 070199 (Georgia)Secondary
207R00000XInternal Medicine TPME1727 (Florida)Secondary
207R00000XInternal 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 NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice Location Address
Anthony Loren Miranda, MD
2660 W Covell Blvd,
Davis, CA 95616-5645

Ph: (530) 747-3000		Anthony Loren Miranda, MD
239 Stony Brook Cir,
Jackson, GA 30233-4571

Ph: (209) 306-4796

Reviews and Comments


Internal Medicine Doctors in Jackson, GA

Craig O'neil Campbell, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 10 3rd St, Jackson, GA 30233
Phone: 404-974-9740    Fax: 404-974-9740
Dr. Joseph Fowlkes, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 2978 Highway 36 W, Jackson, GA 30233
Phone: 770-504-2144    
Dr. Shashi Madan, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 135 N Oak St, Jackson, GA 30233
Phone: 770-775-7675    Fax: 770-775-7817

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.