Mia Danielle Debarros, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Joint Base Lewis Mcchord, Washington. Her current practice location is
9040 Jackson Avenue, Joint Base Lewis Mcchord, Washington. You can reach out to her office (for appointments etc.) via phone at
(253) 968-2200.
Mia Danielle Debarros is licensed to practice in Washington (license number MD60666886) 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 1467783597.
Physician's Profile
| Full Name | Mia Danielle Debarros |
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| Gender | Female |
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| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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| Location | 9040 Jackson Avenue, Joint Base Lewis Mcchord, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1467783597
- Provider Enumeration Date: 01/29/2010
- Last Update Date: 11/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 3577789395
- Enrollment ID: I20171027002466
Medical Identifiers
Medical identifiers for Mia Danielle Debarros such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467783597 | NPI | - | NPPES |
| 2033450 | Medicaid | WA | |
| 26423 | Other | NE | MEDICAL LICENSE |
| 278192 | Other | MA | MEDICAL LICENSE |
| 60666886 | Other | WA | MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | MD60666886 (Washington) | Secondary |
| 208600000X | Surgery | 26423 (Nebraska) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | MD60666886 (Washington) | 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. Mia Danielle Debarros allows following entities to bill medicare on her behalf.
| Entity Name | Franciscan Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093165334
PECOS PAC ID: 0547173866
Enrollment ID: O20031111000789 |
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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. Mia Danielle Debarros 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 |
|---|
Mia Danielle Debarros, MD
9040 Jackson Avenue,
Joint Base Lewis Mcchord, WA 98431-1000
Ph: (253) 968-2200 | Mia Danielle Debarros, MD
9040 Jackson Avenue,
Joint Base Lewis Mcchord, WA 98431-1000
Ph: (253) 968-2200 |
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