Ms Miriam Mivehkar, CNM, WHNP is a medicare enrolled "Advanced Practice Midwife" physician in Santa Monica, California. Her current practice location is
2001 Santa Monica Blvd Ste 380, Santa Monica, California. You can reach out to her office (for appointments etc.) via phone at
(310) 794-7274.
Ms Miriam Mivehkar is licensed to practice in California (license number 235734) 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 1760734529.
Physician's Profile
| Full Name | Ms Miriam Mivehkar |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 2001 Santa Monica Blvd Ste 380, Santa Monica, California |
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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: 1760734529
- Provider Enumeration Date: 10/03/2012
- Last Update Date: 10/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 9830415207
- Enrollment ID: I20181018000518
Medical Identifiers
Medical identifiers for Ms Miriam Mivehkar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760734529 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 235734 (California) | Secondary |
| 367A00000X | Advanced Practice Midwife | 235734 (California) | 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. Ms Miriam Mivehkar allows following entities to bill medicare on her behalf.
| Entity Name | The Regents Of The University Of California |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073582888
PECOS PAC ID: 0143124289
Enrollment ID: O20031120001009 |
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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. Ms Miriam Mivehkar 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 |
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Ms Miriam Mivehkar, CNM, WHNP
5767 W Century Blvd Ste 400,
Los Angeles, CA 90045-5631
Ph: (310) 301-8707 | Ms Miriam Mivehkar, CNM, WHNP
2001 Santa Monica Blvd Ste 380,
Santa Monica, CA 90404-2179
Ph: (310) 794-7274 |
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