Dr Miran Joelle Song, MD in Flagstaff, AZ

Dr Miran Joelle Song, MD is a medicare enrolled "Pediatrics" physician in Flagstaff, Arizona. Her current practice location is 2920 N 4th St, Flagstaff, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 522-9400.

Dr Miran Joelle Song is licensed to practice in Arizona (license number 49275) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1366415846.

Contact Information

	Dr Miran Joelle Song, MD
	2920 N 4th St, Flagstaff, AZ 86004-1816
	(928) 522-9400
	(928) 774-4808

Map and Direction

Physician's Profile

Full Name	Dr Miran Joelle Song
Gender	Female
Speciality	Pediatrics
Location	2920 N 4th St, Flagstaff, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366415846
Provider Enumeration Date: 02/07/2006
Last Update Date: 03/22/2021

Medicare PECOS Information:

PECOS PAC ID: 5991857096
Enrollment ID: I20150622002505

Medical Identifiers

Medical identifiers for Dr Miran Joelle Song such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366415846	NPI	-	NPPES
060012	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	161302 (Massachusetts)	Secondary
208000000X	Pediatrics	49275 (Arizona)	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 Miran Joelle Song allows following entities to bill medicare on her behalf.

Entity Name	North Country Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073583472 PECOS PAC ID: 8820981053 Enrollment ID: O20040210001107

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 Miran Joelle Song 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 Miran Joelle Song, MD Po Box 3630, Flagstaff, AZ 86003-3630 Ph: (928) 522-9400	Dr Miran Joelle Song, MD 2920 N 4th St, Flagstaff, AZ 86004-1816 Ph: (928) 522-9400

Reviews and Comments

Pediatrics Doctors in Flagstaff, AZ

James Wallace Mathewson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1330 N Rim Dr, Suite A, Flagstaff, AZ 86001 Phone: 928-779-7014
Barbara L. Bosch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 77 W Forest Ave, Suite 304, Flagstaff, AZ 86001 Phone: 928-214-3600 Fax: 928-214-3601
Lee B Mcgarey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 77 W Forest Ave, Suite 304, Flagstaff, AZ 86001 Phone: 928-214-3600 Fax: 928-214-3601
Mark F Carroll, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1215 N Beaver St, Suite 201, Flagstaff, AZ 86001 Phone: 928-214-3920 Fax: 928-214-3924
Dr. Julia Beth Eskuchen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2920 N 4th St, Flagstaff, AZ 86004 Phone: 928-213-6100 Fax: 928-213-9351
Ron L Tuckman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 77 W Forest Ave, Suite 304, Flagstaff, AZ 86001 Phone: 928-214-3600 Fax: 928-214-3601
Dr. Jennifer Ekdahl Cortes, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2920 N 4th St, Flagstaff, AZ 86004 Phone: 928-522-9400

Dr Miran Joelle Song, MD - Medicare Pediatrics in Flagstaff, AZ