Dr Miranda Efua Wellington, MD in Grand Prairie, TX

Dr Miranda Efua Wellington, MD is a medicare enrolled "Family Medicine" physician in Grand Prairie, Texas. She graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc and her current practice location is 4927 Lake Ridge Pkwy, Suite 100, Grand Prairie, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 641-9000.

Dr Miranda Efua Wellington is licensed to practice in Texas (license number Q1768) 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 1124314737.

Contact Information

	Dr Miranda Efua Wellington, MD
	4927 Lake Ridge Pkwy, Suite 100, Grand Prairie, TX 75052-3087
	(972) 641-9000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Miranda Efua Wellington
Gender	Female
Speciality	Family Practice
Experience	13 Years
Location	4927 Lake Ridge Pkwy, Grand Prairie, Texas
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 Efua Wellington graduated from medical school in 2011

NPI Data:

NPI Number: 1124314737
Provider Enumeration Date: 06/22/2011
Last Update Date: 06/10/2021

Medicare PECOS Information:

PECOS PAC ID: 1153644919
Enrollment ID: I20180313001060

Medical Identifiers

Medical identifiers for Dr Miranda Efua Wellington such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124314737	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	Q1768 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc	3779495858	1628

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 Efua Wellington allows following entities to bill medicare on her behalf.

Entity Name	Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308

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 Efua Wellington 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 Efua Wellington, MD 4927 Lake Ridge Pkwy, Suite 100, Grand Prairie, TX 75052-3087 Ph: (972) 641-9000	Dr Miranda Efua Wellington, MD 4927 Lake Ridge Pkwy, Suite 100, Grand Prairie, TX 75052-3087 Ph: (972) 641-9000

Reviews and Comments

Family Medicine Doctors in Grand Prairie, TX

Manisha Raja, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Conover Dr, Grand Prairie, TX 75051 Phone: 214-266-3400
Wisam Nachawati, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5224 S State Highway 360 Ste 230, Grand Prairie, TX 75052 Phone: 972-522-0691 Fax: 972-522-1053
Dr. Hsien-hui Grace Huang, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 817 W Pioneer Pkwy Ste 190, Grand Prairie, TX 75051 Phone: 972-647-8282 Fax: 972-606-0202
Zachary Q. Botone, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2740 N. Hwy 360, Suite 100, Grand Prairie, TX 75050 Phone: 972-606-8300 Fax: 972-606-4940
Maria Graciela Zelaya Juergens, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3095 Kingswood Blvd Ste 250, Grand Prairie, TX 75052 Phone: 972-817-1950
Donald Craig Whitcomb, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2461 Robinson Rd, Grand Prairie, TX 75051 Phone: 972-606-1334 Fax: 972-606-1637

Dr Miranda Efua Wellington, MD - Medicare Family Practice in Grand Prairie, TX