David Miedema, MD is a medicare enrolled "General Practice" physician in Somerville, Tennessee. He went to Indiana University School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Mcknight Clinic Pllc and his current practice location is
25 Woodbridge Rd Ste A, Somerville, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(901) 465-6353.
David Miedema is licensed to practice in Tennessee (license number 65449) 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 1689962524.
Physician's Profile
| Full Name | David Miedema |
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| Gender | Male |
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| Speciality | General Practice |
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| Experience | 13 Years |
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| Location | 25 Woodbridge Rd Ste A, Somerville, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- David Miedema attended and graduated from Indiana University School Of Medicine in 2011
NPI Data:
- NPI Number: 1689962524
- Provider Enumeration Date: 07/13/2011
- Last Update Date: 02/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880824127
- Enrollment ID: I20220512001246
Medical Identifiers
Medical identifiers for David Miedema such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1689962524 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 65449 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mcknight Clinic Pllc | 9234200130 | 3 |
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. David Miedema allows following entities to bill medicare on his behalf.
| Entity Name | Mcknight Clinic Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043482649
PECOS PAC ID: 9234200130
Enrollment ID: O20080620000169 |
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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. David Miedema 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 |
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David Miedema, MD
25 Woodbridge Rd,
Somerville, TN 38068-1242
Ph: (901) 465-6353 | David Miedema, MD
25 Woodbridge Rd Ste A,
Somerville, TN 38068-1242
Ph: (901) 465-6353 |
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