Miranda Mallicoat, - Specialist/Technologist, Other in Louisville, KY

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Miranda Mallicoat, is a Specialist/technologist, Other - Surgical Assistant physician based in Louisville, Kentucky. Miranda Mallicoat is licensed to practice in Kentucky (license number TSA026) and her current practice location is 3900 Kresge Way Ste 51, Louisville, Kentucky. She can be reached at her office (for appointments etc.) via phone at (502) 259-5955.

NPI number for Miranda Mallicoat is 1487309290 and her current mailing address is 5200 Commerce Crossings Dr Fl 3, Louisville, Kentucky. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487309290.

Contact Information

Miranda Mallicoat,
3900 Kresge Way Ste 51,
Louisville, KY 40207-4683
(502) 259-5955
Not Available

Map and Direction




Physician's Profile

Full NameMiranda Mallicoat
GenderFemale
SpecialitySpecialist/technologist, Other - Surgical Assistant
Location3900 Kresge Way Ste 51, Louisville, Kentucky
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487309290
  • Provider Enumeration Date: 02/21/2022
  • Last Update Date: 03/09/2022

Medical Identifiers

Medical identifiers for Miranda Mallicoat such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487309290NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery TSA026 (Kentucky)Secondary
246ZC0007XSpecialist/technologist, Other - Surgical Assistant TSA026 (Kentucky)Primary

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 Mallicoat is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miranda Mallicoat,
5200 Commerce Crossings Dr Fl 3,
Louisville, KY 40229-2182

Ph: (502) 253-4924		Miranda Mallicoat,
3900 Kresge Way Ste 51,
Louisville, KY 40207-4683

Ph: (502) 259-5955

Reviews and Comments



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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.