Miranda Kavita Persaud, PA-C is a medicare enrolled "Pain Medicine - Pain Medicine" in New Smyrna Beach, Florida. Her current practice location is
Po Box 1268, New Smyrna Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(386) 259-8803.
Miranda Kavita Persaud is licensed to practice in Florida (license number PA9115776) 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 1619601671.
Provider's Profile
Full Name | Miranda Kavita Persaud |
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Gender | Female |
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Speciality | Pain Medicine - Pain Medicine |
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Location | Po Box 1268, New Smyrna Beach, Florida |
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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: 1619601671
- Provider Enumeration Date: 07/14/2022
- Last Update Date: 07/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244611358
- Enrollment ID: I20220721000197
Medical Identifiers
Medical identifiers for Miranda Kavita Persaud such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619601671 | NPI | - | NPPES |
202248493 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA9115776 (Florida) | Secondary |
208VP0000X | Pain Medicine - Pain Medicine | PA9115776 (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. Miranda Kavita Persaud 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 Kavita Persaud, PA-C 6710 Collins Rd Apt 2509, Jacksonville, FL 32244-5888 Ph: (754) 422-6886 | Miranda Kavita Persaud, PA-C Po Box 1268, New Smyrna Beach, FL 32170-1268 Ph: (386) 259-8803 |
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