Miranda Mae Pickens, FNP in Sullivan, MO - Medicare Nurse Practitioner

Miranda Mae Pickens, FNP is a medicare enrolled "Nurse Practitioner - Family" in Sullivan, Missouri. She went to University Of Missouri, Columbia School Of Medicine and graduated in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mercy Clinic East Communities and her current practice location is 1326 S Service Rd W, Sullivan, Missouri. You can reach out to her office (for appointments etc.) via phone at (578) 468-4455.

Miranda Mae Pickens is licensed to practice in Missouri (license number 2021026494) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093488322.

Contact Information

	Miranda Mae Pickens, FNP
	1326 S Service Rd W, Sullivan, MO 63080-2306
	(578) 468-4455
	Not Available

Map and Direction

Provider's Profile

Full Name	Miranda Mae Pickens
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	1326 S Service Rd W, Sullivan, Missouri
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Miranda Mae Pickens attended and graduated from University Of Missouri, Columbia School Of Medicine in 2021

NPI Data:

NPI Number: 1093488322
Provider Enumeration Date: 08/02/2021
Last Update Date: 08/02/2021

Medicare PECOS Information:

PECOS PAC ID: 3870990096
Enrollment ID: I20210930000458

Medical Identifiers

Medical identifiers for Miranda Mae Pickens such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093488322	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2021026494 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital Washington	Washington, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Clinic East Communities	7214827922	499

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. Miranda Mae Pickens allows following entities to bill medicare on her behalf.

Entity Name	Mercy Clinic East Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073739041 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000058

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 Mae Pickens 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 Mae Pickens, FNP 1788 Pottery Rd, Washington, MO 63090-4189 Ph: (636) 358-2887	Miranda Mae Pickens, FNP 1326 S Service Rd W, Sullivan, MO 63080-2306 Ph: (578) 468-4455

Reviews and Comments

Nurse Practitioner Nurses in Sullivan, MO

Mrs. Amy E Torres, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 965 Mattox Dr, Sullivan, MO 63080 Phone: 573-860-6000
Mrs. Cinnamon Dale Michalik, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 751 Sappington Bridge Rd, Sullivan, MO 63080 Phone: 573-468-4186
Mary J Bjornstad, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 965 Mattox Dr, Sullivan, MO 63080 Phone: 573-860-6000 Fax: 573-860-6016
Shelly Lynn Hulsey, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 965 Mattox Dr, Sullivan, MO 63080 Phone: 314-747-1005
Allyson Marie Byron, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 965 Mattox Dr, Sullivan, MO 63080 Phone: 573-860-6000 Fax: 573-860-6016
Mrs. Kamealya Leah Farrell, FNP-C, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1326 S Service Rd W Ste 10, Sullivan, MO 63080 Phone: 573-468-4455

Miranda Mae Pickens, FNP - Medicare Nurse Practitioner in Sullivan, MO