Diego A Miranda, MD | |
2449 Hospital Drive, Suite 340, Bossier City, LA 71111 | |
(318) 212-7841 | |
(318) 212-7768 |
Full Name | Diego A Miranda |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 30 Years |
Location | 2449 Hospital Drive, Bossier City, Louisiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104845080 | NPI | - | NPPES |
1478997 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XS0106X | Orthopaedic Surgery - Hand Surgery | 199959 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Willis Knighton Medical Center, Inc | Shreveport, LA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wk Bossier Orthopedic And Sports | 6406951078 | 11 |
Entity Name | Wk Bossier Orthopedic & Sports |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588715791 PECOS PAC ID: 6406951078 Enrollment ID: O20070411000016 |
Mailing Address | Practice Location Address |
---|---|
Diego A Miranda, MD 2449 Hospital Drive, Suite 340, Bossier City, LA 71111 Ph: (318) 212-7841 | Diego A Miranda, MD 2449 Hospital Drive, Suite 340, Bossier City, LA 71111 Ph: (318) 212-7841 |
Dr. Vikram Chatrath, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2449 Hospital Dr Ste 200, Bossier City, LA 71111 Phone: 318-212-7841 Fax: 318-212-7846 | |
Clinton G Mcalister, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2005 Landry Drive, Bossier City, LA 71111 Phone: 318-752-7850 Fax: 318-752-7855 | |
Andrew James Moritz, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2449 Hospital Dr, Suite 200, Bossier City, LA 71111 Phone: 318-425-8701 Fax: 318-424-0376 | |
Blair Kennedy Smith, MSN, RN, APRN, FNP-C Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2449 Hospital Dr Ste 200, Bossier City, LA 71111 Phone: 318-212-7841 | |
Dr. John T. Mays, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2449 Hospital Drive, Suite 200, Bossier City, LA 71111 Phone: 318-425-8701 Fax: 318-424-0376 | |
Dr. Val H. Irion, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2005 Landry Dr., Bossier City, LA 71111 Phone: 318-752-7850 Fax: 318-752-7855 |