Nicole Autumn Mirjafari, MD - Medicare Pediatrics in Liverpool, NY

Nicole Autumn Mirjafari, MD is a medicare enrolled "Pediatrics" physician in Liverpool, New York. Her current practice location is 5100 W Taft Rd Ste 1b, Liverpool, New York. You can reach out to her office (for appointments etc.) via phone at (239) 343-9888.

Nicole Autumn Mirjafari is licensed to practice in Florida (license number ME138382) 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 1144325622.

Contact Information

Nicole Autumn Mirjafari, MD
5100 W Taft Rd Ste 1b,
Liverpool, NY 13088-3808
(239) 343-9888
(239) 303-0714

Map and Direction




Physician's Profile

Full NameNicole Autumn Mirjafari
GenderFemale
SpecialityPediatrics
Location5100 W Taft Rd Ste 1b, Liverpool, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144325622
  • Provider Enumeration Date: 09/13/2006
  • Last Update Date: 01/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7315249422
  • Enrollment ID: I20191220000056

Medical Identifiers

Medical identifiers for Nicole Autumn Mirjafari such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144325622NPI-NPPES
104889000MedicaidFL
100768880FMedicaidOK
100768880IMedicaidOK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 324770 (New York)Secondary
208000000XPediatrics Q0568 (Texas)Secondary
208000000XPediatrics 24093 (Oklahoma)Secondary
208000000XPediatrics ME138382 (Florida)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. Nicole Autumn Mirjafari 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 AddressPractice Location Address
Nicole Autumn Mirjafari, MD
5100 W Taft Rd Ste 1b,
Liverpool, NY 13088-3808

Ph: (918) 406-2024
Nicole Autumn Mirjafari, MD
5100 W Taft Rd Ste 1b,
Liverpool, NY 13088-3808

Ph: (239) 343-9888

Reviews and Comments


Pediatrics Doctors in Liverpool, NY

Meghan Dambach,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4811 Buckley Rd, Liverpool, NY 13088
Phone: 315-457-9966    
Brenda R Van Fossen, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7375 Oswego Rd, Liverpool, NY 13090
Phone: 315-291-0064    Fax: 315-291-0065
Mrs. Maritza Alvarado, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4811 Buckley Rd, Liverpool, NY 13088
Phone: 315-457-9966    Fax: 315-457-9854
Mrs. Angelle M Cresswell, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1 Garnoch Ct, Liverpool, NY 13090
Phone: 315-457-0872    
Dr. Mary V Green, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4811 Buckley Rd, Liverpool, NY 13088
Phone: 315-457-9966    Fax: 315-457-9854
Fozia Bakshi, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4811 Buckley Rd, Liverpool, NY 13088
Phone: 315-457-9966    Fax: 315-379-4900

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.