Dr Miranda L Van De Loo, DNP, FNP-BC, PMHNP in Spokane, WA

Dr Miranda L Van De Loo, DNP, FNP-BC, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Spokane, Washington. Her current practice location is 100 N Howard St Ste R, Spokane, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 836-4314.

Dr Miranda L Van De Loo is licensed to practice in Washington (license number 2022000625) 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 1518575968.

Contact Information

	Dr Miranda L Van De Loo, DNP, FNP-BC, PMHNP
	100 N Howard St Ste R, Spokane, WA 99201-0508
	(360) 836-4314
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Miranda L Van De Loo
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	100 N Howard St Ste R, Spokane, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518575968
Provider Enumeration Date: 07/21/2020
Last Update Date: 04/15/2022

Medicare PECOS Information:

PECOS PAC ID: 9133549009
Enrollment ID: I20201014001586

Medical Identifiers

Medical identifiers for Dr Miranda L Van De Loo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518575968	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	233947 (Wisconsin)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	2022000625 (Washington)	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. Dr Miranda L Van De Loo allows following entities to bill medicare on her behalf.

Entity Name	The Medical College Of Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259

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. Dr Miranda L Van De Loo 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
Dr Miranda L Van De Loo, DNP, FNP-BC, PMHNP 100 N Howard St Ste R, Spokane, WA 99201-0508 Ph: (360) 836-4314	Dr Miranda L Van De Loo, DNP, FNP-BC, PMHNP 100 N Howard St Ste R, Spokane, WA 99201-0508 Ph: (360) 836-4314

Reviews and Comments

Nurse Practitioner Nurses in Spokane, WA

Katie L Gomez, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 W College Ave, Spokane, WA 99201 Phone: 509-324-1420
Kristin Walters, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 122 W 7th Ave, Suite 450, Spokane, WA 99204 Phone: 509-455-8820
Anna Denton, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5633 N Lidgerwood St, Spokane, WA 99208 Phone: 509-482-0111 Fax: 509-482-2133
Michael Colver, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3919 N Maple St, Spokane, WA 99205 Phone: 509-444-8200 Fax: 509-444-7806
Heidi A Weitzel, LPN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 44 E Cozza Dr, Spokane, WA 99208 Phone: 509-325-6800
Brittanee R Worthy, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 E Rowan Ave Ste 300, Spokane, WA 99207 Phone: 509-489-3554 Fax: 509-489-3558
Diane C Beernink, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5921 M Market St, Spokane, WA 99208 Phone: 509-487-1604 Fax: 509-482-6286

Dr Miranda L Van De Loo, DNP, FNP-BC, PMHNP - Medicare Nurse Practitioner in Spokane, WA