Miranda R Proell, CNP is a medicare enrolled "Nurse Practitioner - Family" in Richmond, Minnesota. Her current practice location is
130 1st St Ne, Richmond, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 597-2122.
Miranda R Proell is licensed to practice in Minnesota (license number 11585) 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 1154160422.
Provider's Profile
| Full Name | Miranda R Proell |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 130 1st St Ne, Richmond, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1154160422
- Provider Enumeration Date: 05/24/2024
- Last Update Date: 05/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678015401
- Enrollment ID: I20240609000122
Medical Identifiers
Medical identifiers for Miranda R Proell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154160422 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 11585 (Minnesota) | Primary |
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 R Proell allows following entities to bill medicare on her behalf.
| Entity Name | Centracare Health-paynesville Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629402516
PECOS PAC ID: 1153555719
Enrollment ID: O20140909002390 |
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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 R Proell 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 |
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Miranda R Proell, CNP
804 3rd Ave Se,
Cold Spring, MN 56320-1457
Ph: (701) 630-2493 | Miranda R Proell, CNP
130 1st St Ne,
Richmond, MN 56368-8183
Ph: (320) 597-2122 |
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