Dr Max S Mirot, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Sierra Vista, Arizona. He went to Loyola University Of Chicago, Stritch School Of Medicine and graduated in 1988 and has 37 years of diverse experience with area of expertise as Pathology. His current practice location is
300 El Camino Real, Sierra Vista, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 335-1800.
Dr Max S Mirot is licensed to practice in Wisconsin (license number 47745) 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 1316022411.
Physician's Profile
| Full Name | Dr Max S Mirot |
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| Gender | Male |
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| Speciality | Pathology |
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| Experience | 37 Years |
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| Location | 300 El Camino Real, Sierra Vista, Arizona |
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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 Max S Mirot attended and graduated from Loyola University Of Chicago, Stritch School Of Medicine in 1988
NPI Data:
- NPI Number: 1316022411
- Provider Enumeration Date: 10/26/2006
- Last Update Date: 08/26/2014
Medicare PECOS Information:
- PECOS PAC ID: 3173583200
- Enrollment ID: I20121112000231
Medical Identifiers
Medical identifiers for Dr Max S Mirot such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316022411 | NPI | - | NPPES |
| 907844 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 47745 (Wisconsin) | Primary |
Medical Facilities Affiliation
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 Max S Mirot allows following entities to bill medicare on his behalf.
| Entity Name | Sierra Vista Pathology Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992142921
PECOS PAC ID: 1850520966
Enrollment ID: O20140213001209 |
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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 Max S Mirot 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 Max S Mirot, MD
Po Box 609,
Hereford, AZ 85615-0609
Ph: (520) 335-1800 | Dr Max S Mirot, MD
300 El Camino Real,
Sierra Vista, AZ 85635-2812
Ph: (520) 335-1800 |
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