Miranda Portwine, CRNA in Saint Louis, MO - Medicare Certified Registered Nurse Anesthetist (crna)

Miranda Portwine, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Saint Louis, Missouri. She went to Southern Illinois University School Of Medicine and graduated in 2021 and has 3 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Metro-west Anesthesia Group Inc, Orthomed Staffing Llc and her current practice location is 2345 Dougherty Ferry Rd, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 485-1101.

Miranda Portwine is licensed to practice in Missouri (license number 2021020908) 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 1346819968.

Contact Information

	Miranda Portwine, CRNA
	2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313
	(314) 485-1101
	Not Available

Map and Direction

Provider's Profile

Full Name	Miranda Portwine
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	3 Years
Location	2345 Dougherty Ferry Rd, Saint Louis, 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 Portwine attended and graduated from Southern Illinois University School Of Medicine in 2021

NPI Data:

NPI Number: 1346819968
Provider Enumeration Date: 06/18/2021
Last Update Date: 06/18/2021

Medicare PECOS Information:

PECOS PAC ID: 4183015688
Enrollment ID: I20211216001671

Medical Identifiers

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

Identifier	Type	State	Issuer
1346819968	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	2021020908 (Missouri)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Metro-west Anesthesia Group Inc	2163329921	149
Orthomed Staffing Llc	9638429178	252

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 Portwine allows following entities to bill medicare on her behalf.

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528005642 PECOS PAC ID: 9830008770 Enrollment ID: O20031118001093

Entity Name	Metro-west Anesthesia Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245427335 PECOS PAC ID: 2163329921 Enrollment ID: O20031218000563

Entity Name	Ballas Anesthesia Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306894241 PECOS PAC ID: 5092615310 Enrollment ID: O20040112000519

Entity Name	Orthomed Staffing Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225514276 PECOS PAC ID: 9638429178 Enrollment ID: O20220505000502

Entity Name	Missouri Baptist Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609658905 PECOS PAC ID: 3476461955 Enrollment ID: O20240111001744

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 Portwine 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 Portwine, CRNA Po Box 14470, Saint Louis, MO 63178-4470 Ph: () -	Miranda Portwine, CRNA 2345 Dougherty Ferry Rd, Saint Louis, MO 63122-3313 Ph: (314) 485-1101

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Saint Louis, MO

Ms. Mary Katherine Kinworthy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12634 Olive Blvd, Dept Anesthesiology, Saint Louis, MO 63141 Phone: 800-862-9980 Fax: 314-362-1185
Ms. Kelsey Elise Fogus, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185
Ms. Claira J Sousa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185
Claire Aubuchon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 129 N Ballas Rd, Saint Louis, MO 63122 Phone: 314-996-5330 Fax: 314-810-1399
Mr. Aaron M Weinzettel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Dept Anesthesiology, Saint Louis, MO 63110 Phone: 800-862-9980 Fax: 314-362-1185
Ms. Tracy Lanes, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-362-6973 Fax: 314-362-1185
Mr. Michael Mccamley, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 12634 Olive Blvd, Saint Louis, MO 63141 Phone: 314-996-8685 Fax: 314-996-8479

Miranda Portwine, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Saint Louis, MO