Mario Miranda, DO - Medicare Emergency Medicine in Peoria, IL

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Mario Miranda, DO is a medicare enrolled "Emergency Medicine" physician in Peoria, Illinois. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Concord Company Of Tennessee Pllc and his current practice location is 221 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 672-5522.

Mario Miranda is licensed to practice in Illinois (license number ) 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 1376505420.

Contact Information

Mario Miranda, DO
221 Ne Glen Oak Ave,
Peoria, IL 61603-4307
(309) 672-5522
Not Available

Map and Direction




Physician's Profile

Full NameMario Miranda
GenderMale
SpecialityEmergency Medicine
Experience29 Years
Location221 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mario Miranda graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1376505420
  • Provider Enumeration Date: 04/04/2006
  • Last Update Date: 02/05/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 0749173169
  • Enrollment ID: I20200522000366

Medical Identifiers

Medical identifiers for Mario Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376505420NPI-NPPES
P00196855OtherILRAILROAD MEDICARE
36096715OtherILBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (Illinois)Secondary
207P00000XEmergency Medicine (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Woodlawn HospitalRochester, INHospital
Perry County Memorial HospitalTell city, INHospital
Sullivan County Community HospitalSullivan, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Concord Company Of Tennessee Pllc034558810944

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. Mario Miranda allows following entities to bill medicare on his behalf.
Entity NameWoodlawn Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639241227
PECOS PAC ID: 4082506993
Enrollment ID: O20040326000043
Entity NameMidwest Emergency Tell City, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699447540
PECOS PAC ID: 0840688610
Enrollment ID: O20211027002383
Entity NameConcord Company Of Tennessee Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649743667
PECOS PAC ID: 0345588109
Enrollment ID: O20240220002324

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. Mario 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 AddressPractice Location Address
Mario Miranda, DO
21276 Network Pl,
Chicago, IL 60673-1212

Ph: (877) 485-4474		Mario Miranda, DO
221 Ne Glen Oak Ave,
Peoria, IL 61603-4307

Ph: (309) 672-5522

Reviews and Comments


Emergency Medicine Doctors in Peoria, IL

Dr. Austin Lamb, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 530 N.e. Glen Oak Avenue, Osf St. Francis, Emergency Medicine Residency Program, Peoria, IL 61637
Phone: 309-655-7257    
Philip A Fifield, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-2553    Fax: 309-655-2602
Dr. Anthony J Buecker, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636
Phone: 309-672-5500    
Dr. Mark Phillip Gaudio, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-6710    
Michael M Raso, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1115 N Bourland Ave, Peoria, IL 61606
Phone: 309-264-0730    
Ryan Newberger, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 248-207-2018    
Craig D Koch, M.D
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-7257    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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