Dr Idelee Garcia Miranda, MD in Longview, WA

Dr Idelee Garcia Miranda, MD is a medicare enrolled "Family Medicine" physician in Longview, Washington. His current practice location is 1230 7th Ave, Kaiser Permanente Longview Kelso Medical Office, Longview, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 636-2400.

Dr Idelee Garcia Miranda is licensed to practice in Washington (license number MD 60122504) 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 1821328055.

Contact Information

	Dr Idelee Garcia Miranda, MD
	1230 7th Ave, Kaiser Permanente Longview Kelso Medical Office, Longview, WA 98632-3166
	(360) 636-2400
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Idelee Garcia Miranda
Gender	Male
Speciality	Family Medicine
Location	1230 7th Ave, Longview, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821328055
Provider Enumeration Date: 01/11/2010
Last Update Date: 02/04/2022

Medicare PECOS Information:

PECOS PAC ID: 0345415667
Enrollment ID: I20111214000488

Medical Identifiers

Medical identifiers for Dr Idelee Garcia Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821328055	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD 60122504 (Washington)	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. Dr Idelee Garcia Miranda allows following entities to bill medicare on his behalf.

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099

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 Idelee Garcia 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
Dr Idelee Garcia Miranda, MD 9 Koster Blvd Apt 2a, Edison, NJ 08837-4319 Ph: (848) 260-0025	Dr Idelee Garcia Miranda, MD 1230 7th Ave, Kaiser Permanente Longview Kelso Medical Office, Longview, WA 98632-3166 Ph: (360) 636-2400

Reviews and Comments

Family Medicine Doctors in Longview, WA

Mr. Albert Hung-pei Luh, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-575-4801
Michael Adam Krall, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-575-4801
Dr. Joseph Leslie Davis, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2807 36th Ave, Longview, WA 98632 Phone: 360-425-8365
Muhammad Riaz, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-7800 Fax: 360-414-7808
Dr. Morgan Daneel Evans, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1718 E Kessler Blvd, Longview, WA 98632 Phone: 360-747-5800 Fax: 360-575-3846
Mu-hsiang Joy Wang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1718 E Kessler Blvd, Longview, WA 98632 Phone: 360-747-5800 Fax: 360-575-3846
Peter W Dicristina, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-636-2400

Dr Idelee Garcia Miranda, MD - Medicare Family Medicine in Longview, WA