Mary Anne Miranda, NP-C - Medicare Nurse Practitioner in Port Jefferson Station, NY

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Mary Anne Miranda, NP-C is a medicare enrolled "Nurse Practitioner - Adult Health" in Port Jefferson Station, New York. Her current practice location is 931 Hallock Ave, Port Jefferson Station, New York. You can reach out to her office (for appointments etc.) via phone at (631) 331-7200.

Mary Anne Miranda is licensed to practice in New York (license number F304650) 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 1942492897.

Contact Information

Mary Anne Miranda, NP-C
931 Hallock Ave,
Port Jefferson Station, NY 11776-1228
(631) 331-7200
Not Available

Map and Direction




Provider's Profile

Full NameMary Anne Miranda
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location931 Hallock Ave, Port Jefferson Station, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942492897
  • Provider Enumeration Date: 08/14/2007
  • Last Update Date: 01/13/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3678616448
  • Enrollment ID: I20100202000154

Medical Identifiers

Medical identifiers for Mary Anne Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942492897NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health F304650 (New York)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. Mary Anne Miranda allows following entities to bill medicare on her behalf.
Entity NameNorth Shore Nephrology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861413718
PECOS PAC ID: 5496645632
Enrollment ID: O20040319000353
Entity NameBimc Faculty Practice
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548594203
PECOS PAC ID: 5799888392
Enrollment ID: O20070320000596

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. Mary Anne Miranda 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
Mary Anne Miranda, NP-C
7 Elm St,
Central Islip, NY 11722-4111

Ph: (631) 232-1572		Mary Anne Miranda, NP-C
931 Hallock Ave,
Port Jefferson Station, NY 11776-1228

Ph: (631) 331-7200

Reviews and Comments


Nurse Practitioner Nurses in Port Jefferson Station, NY

Gia Aslanidis,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1404 Sara Cir, Port Jefferson Station, NY 11776
Phone: 516-563-1147    
Uma Narayana, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 931 Hallock Ave, Port Jefferson Station, NY 11776
Phone: 631-331-7200    
Jaime Draghi,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 49 Rte 347, Port Jefferson Station, NY 11776
Phone: 631-751-3000    
Marina Dillon, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 75 N Country Rd, Port Jefferson Station, NY 11777
Phone: 631-805-2150    
Lori Jean Conlin, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5316 Nesconset Hwy, Port Jefferson Station, NY 11776
Phone: 316-897-8006    Fax: 631-751-0506
Ruth Bochat, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Jarvin Rd, Port Jefferson Station, NY 11776
Phone: 929-429-6861    
Mrs. Julie Ann Pablo, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 126 Greenhaven Dr, Port Jefferson Station, NY 11776
Phone: 631-240-9833    

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.