Dr Christopher Jordan Miedema, MD - Medicare Emergency Medicine in Phoenix, AZ

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Dr Christopher Jordan Miedema, MD is a medicare enrolled "Emergency Medicine" physician in Phoenix, Arizona. He went to Southern Illinois University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Tec Emergency Physicians Of Arizona, Llc, Emergency Professional Services Pc and his current practice location is 645 E Missouri Ave Ste 300, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 500-2540.

Dr Christopher Jordan Miedema is licensed to practice in Arizona (license number 53920) 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 1255747432.

Contact Information

Dr Christopher Jordan Miedema, MD
645 E Missouri Ave Ste 300,
Phoenix, AZ 85012-1351
(480) 500-2540
(623) 201-7954

Map and Direction




Physician's Profile

Full NameDr Christopher Jordan Miedema
GenderMale
SpecialityEmergency Medicine
Experience10 Years
Location645 E Missouri Ave Ste 300, Phoenix, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Christopher Jordan Miedema attended and graduated from Southern Illinois University School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1255747432
  • Provider Enumeration Date: 07/08/2014
  • Last Update Date: 05/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1557654738
  • Enrollment ID: I20170814001796

Medical Identifiers

Medical identifiers for Dr Christopher Jordan Miedema such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255747432NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 125.064907 (Illinois)Secondary
207P00000XEmergency Medicine 53920 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Goldfield Medical CenterApache junction, AZHospital
Banner - University Medical Center PhoenixPhoenix, AZHospital
Banner Estrella Medical CenterPhoenix, AZHospital
Banner Ironwood Medical CenterQueen creek, AZHospital
Dignity Health - Arizona General HospitalLaveen, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tec Emergency Physicians Of Arizona, Llc6204256084116
Emergency Professional Services Pc690170727270

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 Christopher Jordan Miedema allows following entities to bill medicare on his behalf.
Entity NameEmergency Professional Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518984210
PECOS PAC ID: 6901707272
Enrollment ID: O20040119000693
Entity NameBanner Hospital Based Physicians Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275889891
PECOS PAC ID: 3274782487
Enrollment ID: O20121003000752
Entity NameBanner - University Hospital Based Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750751566
PECOS PAC ID: 1052614294
Enrollment ID: O20160122000508
Entity NameTec Emergency Physicians Of Arizona, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245772870
PECOS PAC ID: 6204256084
Enrollment ID: O20201016000157

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 Christopher Jordan 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 AddressPractice Location Address
Dr Christopher Jordan Miedema, MD
645 E Missouri Ave Ste 300,
Phoenix, AZ 85012-1351

Ph: (480) 500-2540		Dr Christopher Jordan Miedema, MD
645 E Missouri Ave Ste 300,
Phoenix, AZ 85012-1351

Ph: (480) 500-2540

Reviews and Comments


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Dr. Jason B Daniels, MD
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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.