Miranda Tedder, in Kokomo, IN - Medicare Nurse Practitioner

Miranda Tedder, is a medicare enrolled "Nurse Practitioner - Family" in Kokomo, Indiana. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Community Physicians Of Indiana Inc, Pic Indiana Pc and her current practice location is 3611 S Reed Rd Ste 214, Kokomo, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 776-8700.

Miranda Tedder is licensed to practice in Indiana (license number 71009470A) 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 1023650868.

Contact Information

	Miranda Tedder,
	3611 S Reed Rd Ste 214, Kokomo, IN 46902-3828
	(765) 776-8700
	Not Available

Map and Direction

Provider's Profile

Full Name	Miranda Tedder
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	3611 S Reed Rd Ste 214, Kokomo, Indiana
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 Tedder graduated from nursing school in 2019

NPI Data:

NPI Number: 1023650868
Provider Enumeration Date: 10/14/2019
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 1658603287
Enrollment ID: I20191030002906

Medical Identifiers

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

Identifier	Type	State	Issuer
1023650868	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71009470A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Community Howard Regional Health Inc.	Kokomo, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Community Physicians Of Indiana Inc	1759416662	1292
Pic Indiana Pc	3476790239	78

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 Tedder allows following entities to bill medicare on her behalf.

Entity Name	Community Physicians Of Indiana Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717

Entity Name	Pic Indiana Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942546890 PECOS PAC ID: 3476790239 Enrollment ID: O20130515000110

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 Tedder 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 Tedder, 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: () -	Miranda Tedder, 3611 S Reed Rd Ste 214, Kokomo, IN 46902-3828 Ph: (765) 776-8700

Reviews and Comments

Nurse Practitioner Nurses in Kokomo, IN

Cathy J Simms, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3500 S Lafountain St, Kokomo, IN 46902 Phone: 765-453-8571 Fax: 765-453-8637
Mandy Vires, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 429 W Lincoln Rd, Kokomo, IN 46902 Phone: 317-654-3487
Raymond Candelaria, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3611 S Reed Rd Ste 214, Kokomo, IN 46902 Phone: 765-776-8700
Mrs. Lisa D Stults, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 765-456-5900
Angela J Bowman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2401 Columbus Blvd, Kokomo, IN 46901 Phone: 765-453-1254 Fax: 765-864-8732
Mary Hendrix, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3118 S Lafountain St # At, Kokomo, IN 46902 Phone: 765-864-4160

Miranda Tedder, - Medicare Nurse Practitioner in Kokomo, IN