Dr Carlos Javier Glanville Miranda, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Suffolk, Virginia. He went to Ponce School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Sentara Medical Group and his current practice location is
2790 Godwin Blvd Ste 305, Suffolk, Virginia. You can reach out to his office (for appointments etc.) via phone at
(757) 931-4222.
Dr Carlos Javier Glanville Miranda is licensed to practice in Virginia (license number 0101252033) 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 1275705253.
Physician's Profile
| Full Name | Dr Carlos Javier Glanville Miranda |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 18 Years |
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| Location | 2790 Godwin Blvd Ste 305, Suffolk, Virginia |
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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:
- Dr Carlos Javier Glanville Miranda attended and graduated from Ponce School Of Medicine in 2006
NPI Data:
- NPI Number: 1275705253
- Provider Enumeration Date: 03/30/2008
- Last Update Date: 02/17/2022
Medicare PECOS Information:
- PECOS PAC ID: 9537317797
- Enrollment ID: I20120912000509
Medical Identifiers
Medical identifiers for Dr Carlos Javier Glanville Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275705253 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 0101252033 (Virginia) | Secondary |
| 208600000X | Surgery | MT188562 (Pennsylvania) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 0101252033 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sentara Medical Group | 8921903923 | 1091 |
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. Dr Carlos Javier Glanville Miranda allows following entities to bill medicare on his behalf.
| Entity Name | Sentara Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265485270
PECOS PAC ID: 8921903923
Enrollment ID: O20031203000466 |
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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. Dr Carlos Javier Glanville 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 |
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Dr Carlos Javier Glanville Miranda, MD
2790 Godwin Blvd Ste 305,
Suffolk, VA 23434-8158
Ph: (757) 931-4222 | Dr Carlos Javier Glanville Miranda, MD
2790 Godwin Blvd Ste 305,
Suffolk, VA 23434-8158
Ph: (757) 931-4222 |
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