Ernesto Bogarin Miranda, MD in Fort Atkinson, WI

Ernesto Bogarin Miranda, MD is a medicare enrolled "Family Medicine" physician in Fort Atkinson, Wisconsin. He went to University Of Wisconsin School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Fort Healthcare Inc and his current practice location is 1520 Madison Ave, Fort Atkinson, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 563-5500.

Ernesto Bogarin Miranda is licensed to practice in Wisconsin (license number 73153-20) 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 1376951046.

Contact Information

	Ernesto Bogarin Miranda, MD
	1520 Madison Ave, Fort Atkinson, WI 53538-3100
	(920) 563-5500
	Not Available

Map and Direction

Physician's Profile

Full Name	Ernesto Bogarin Miranda
Gender	Male
Speciality	Family Practice
Experience	10 Years
Location	1520 Madison Ave, Fort Atkinson, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ernesto Bogarin Miranda attended and graduated from University Of Wisconsin School Of Medicine in 2014

NPI Data:

NPI Number: 1376951046
Provider Enumeration Date: 07/25/2014
Last Update Date: 10/07/2022

Medicare PECOS Information:

PECOS PAC ID: 2567733488
Enrollment ID: I20200513000403

Medical Identifiers

Medical identifiers for Ernesto Bogarin Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376951046	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	RL14696 (North Dakota)	Secondary
207R00000X	Internal Medicine	R74574 (Arizona)	Secondary
207Q00000X	Family Medicine	73153-20 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fort Memorial Hospital	Fort atkinson, WI	Hospital
University Of Wi Hospitals & Clinics Authority	Madison, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fort Healthcare Inc	0840189718	122

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. Ernesto Bogarin Miranda allows following entities to bill medicare on his behalf.

Entity Name	Fort Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417993361 PECOS PAC ID: 0840189718 Enrollment ID: O20040319001411

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. Ernesto Bogarin 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
Ernesto Bogarin Miranda, MD 1520 Madison Ave, Fort Atkinson, WI 53538-3100 Ph: (920) 563-5500	Ernesto Bogarin Miranda, MD 1520 Madison Ave, Fort Atkinson, WI 53538-3100 Ph: (920) 563-5500

Reviews and Comments

Family Medicine Doctors in Fort Atkinson, WI

Stephen C Riggs, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 Reena Ave, Fort Atkinson, WI 53538 Phone: 920-563-0888 Fax: 920-568-3516
Barry P Cash, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 740 Reena Ave, Fort Atkinson, WI 53538 Phone: 920-563-0888 Fax: 920-568-3516
Patrick Thomas Daley, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1620 Mehta Ln, Fort Atkinson, WI 53538 Phone: 920-563-5544 Fax: 920-563-8884
Dr. Jacob Edward Taber, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 740 Reena Ave, Fort Atkinson, WI 53538 Phone: 920-563-0888 Fax: 920-568-3516
Shauna J Meyer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 Handeyside Ln, Fort Atkinson, WI 53538 Phone: 920-563-5544 Fax: 920-563-8884
Edwin D Fischer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 426 Mcmillen St, Fort Atkinson, WI 53538 Phone: 920-563-5500 Fax: 920-563-4472

Ernesto Bogarin Miranda, MD - Medicare Family Practice in Fort Atkinson, WI