Dr Miranda Decker, MD is a medicare enrolled "Internal Medicine" physician in Russellville, Alabama. She went to University Of Kentucky College Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Internal Medicine. Her current practice location is
535 Gandy St Ne, Russellville, Alabama. You can reach out to her office (for appointments etc.) via phone at
(256) 332-1120.
Dr Miranda Decker is licensed to practice in Alabama (license number 28146) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699967612.
Physician's Profile
Full Name | Dr Miranda Decker |
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Gender | Female |
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Speciality | Internal Medicine |
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Experience | 21 Years |
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Location | 535 Gandy St Ne, Russellville, Alabama |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Miranda Decker attended and graduated from University Of Kentucky College Of Medicine in 2003
NPI Data:
- NPI Number: 1699967612
- Provider Enumeration Date: 08/14/2007
- Last Update Date: 10/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 1759474364
- Enrollment ID: I20070912000237
Medical Identifiers
Medical identifiers for Dr Miranda Decker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699967612 | NPI | - | NPPES |
510-06343 | Other | AL | BCBS |
009911825 | Medicaid | AL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 28146 (Alabama) | 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 Miranda Decker allows following entities to bill medicare on her behalf.
Entity Name | Russellville Internal Medicine Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174715296 PECOS PAC ID: 4486747094 Enrollment ID: O20070912000230 |
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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 Miranda Decker 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 Miranda Decker, MD Po Box 516, 535 Gandy St, Russellville, AL 35653-0516 Ph: (256) 332-1120 | Dr Miranda Decker, MD 535 Gandy St Ne, Russellville, AL 35653-1965 Ph: (256) 332-1120 |
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