Miguel L Medrano, PA is a medicare enrolled "Physician Assistant" in Benton City, Washington. His current practice location is
701 Dale Ave, Benton City, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 588-4075.
Miguel L Medrano is licensed to practice in Washington (license number OA60464236) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639111586.
Provider's Profile
Full Name | Miguel L Medrano |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 701 Dale Ave, Benton City, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1639111586
- Provider Enumeration Date: 06/12/2006
- Last Update Date: 08/04/2014
Medicare PECOS Information:
- PECOS PAC ID: 8022061035
- Enrollment ID: I20050301000879
Medical Identifiers
Medical identifiers for Miguel L Medrano such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639111586 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA16427 (California) | Secondary |
363A00000X | Physician Assistant | OA60464236 (Washington) | 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. Miguel L Medrano 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 |
Miguel L Medrano, PA 723 Memorial St, Prosser, WA 99350-1524 Ph: (509) 786-2222 | Miguel L Medrano, PA 701 Dale Ave, Benton City, WA 99320-5250 Ph: (509) 588-4075 |
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