Miranda Johnson, DO in Tulsa, OK - Medicare Pediatrics

Miranda Johnson, DO is a medicare enrolled "Pediatrics" physician in Tulsa, Oklahoma. Her current practice location is 635 W 11th St, Tulsa, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 561-5701.

Miranda Johnson is licensed to practice in Oklahoma (license number 4528) 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 1881872539.

Contact Information

	Miranda Johnson, DO
	635 W 11th St, Tulsa, OK 74127-9014
	(918) 561-5701
	Not Available

Map and Direction

Physician's Profile

Full Name	Miranda Johnson
Gender	Female
Speciality	Pediatrics
Location	635 W 11th St, Tulsa, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881872539
Provider Enumeration Date: 02/05/2008
Last Update Date: 02/05/2008

Medicare PECOS Information:

PECOS PAC ID: 3577729177
Enrollment ID: I20120726000265

Medical Identifiers

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

Identifier	Type	State	Issuer
1881872539	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	4528 (Oklahoma)	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. Miranda Johnson allows following entities to bill medicare on her behalf.

Entity Name	Creek Nation Hospital & Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130

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. Miranda Johnson 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
Miranda Johnson, DO 2345 Southwest Blvd, Tulsa, OK 74107-2705 Ph: (918) 561-5701	Miranda Johnson, DO 635 W 11th St, Tulsa, OK 74127-9014 Ph: (918) 561-5701

Reviews and Comments

Pediatrics Doctors in Tulsa, OK

Misty Dawn Woodard, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7858 South Olympia Avenue, Tulsa, OK 74132 Phone: 918-986-9200
Pranav Garlapati, MBBS Pediatrics Medicare: Medicare Enrolled Practice Location: 1414 E 39th St Apt 256, Tulsa, OK 74105 Phone: 850-376-4584
Dr. Noel E Gattenby, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 8414 E 101st St, Tulsa, OK 74133 Phone: 918-369-3200 Fax: 918-369-3209
Dr. Hee Won Kim, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-502-6135 Fax: 918-502-6137
Frederick I Cohen, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3218 S 79th East Ave, Tulsa, OK 74145 Phone: 918-663-6228 Fax: 918-665-0925
Dr. Binh Thai Phung, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 717 S Houston Ave Ste 400, Tulsa, OK 74127 Phone: 918-382-4600 Fax: 918-382-3183
Carmen M Gent, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 4444 E 41st St, Tulsa, OK 74135 Phone: 918-619-4400 Fax: 918-619-4334

Miranda Johnson, DO - Medicare Pediatrics in Tulsa, OK