Miranda Elizabeth Ledford, PA is a medicare enrolled "Physician Assistant" in Chuckey, Tennessee. Her current practice location is
3275 Old Stage Rd, Chuckey, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 557-5836.
Miranda Elizabeth Ledford is licensed to practice in Tennessee (license number 6084) 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 1053151423.
Provider's Profile
Full Name | Miranda Elizabeth Ledford |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 3275 Old Stage Rd, Chuckey, Tennessee |
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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: 1053151423
- Provider Enumeration Date: 05/31/2024
- Last Update Date: 01/31/2025
Medicare PECOS Information:
- PECOS PAC ID: 0749714905
- Enrollment ID: I20241111001185
Medical Identifiers
Medical identifiers for Miranda Elizabeth Ledford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053151423 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 6084 (Tennessee) | 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. Miranda Elizabeth Ledford 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 |
Miranda Elizabeth Ledford, PA Po Box 306244, Nashville, TN 37230-6244 Ph: (931) 253-1110 | Miranda Elizabeth Ledford, PA 3275 Old Stage Rd, Chuckey, TN 37641-5064 Ph: (423) 557-5836 |
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