Mikaela Tristan Middleton, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Buffalo, New York. Her current practice location is
955 Main St, Buffalo, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 829-6132.
Mikaela Tristan Middleton is licensed to practice in * (Not Available) (license number ) 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 1427636026.
Physician's Profile
Full Name | Mikaela Tristan Middleton |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 955 Main St, Buffalo, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427636026
- Provider Enumeration Date: 04/01/2021
- Last Update Date: 07/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 0446799126
- Enrollment ID: I20240826002737
Medical Identifiers
Medical identifiers for Mikaela Tristan Middleton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427636026 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | A194956 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Mikaela Tristan Middleton allows following entities to bill medicare on her behalf.
Entity Name | University Of California Sfgh Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366417420 PECOS PAC ID: 5496668410 Enrollment ID: O20031112000551 |
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Entity Name | City & County Of San Francisco |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982737524 PECOS PAC ID: 1658280748 Enrollment ID: O20050309000770 |
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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. Mikaela Tristan Middleton 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 |
Mikaela Tristan Middleton, MD 955 Main St, Buffalo, NY 14203-1121 Ph: (716) 829-6132 | Mikaela Tristan Middleton, MD 955 Main St, Buffalo, NY 14203-1121 Ph: (716) 829-6132 |
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