Mr Ivan Miranda, PA-C - Physician Assistant in Addison, TX

Mr Ivan Miranda, PA-C is a Physician Assistant - Medical based in Addison, Texas. Mr Ivan Miranda is licensed to practice in Texas (license number PA17718) and his current practice location is 16479 Dallas Pkwy Ste 320, Addison, Texas. He can be reached at his office (for appointments etc.) via phone at (469) 484-4260.

NPI number for Mr Ivan Miranda is 1003547670 and his current mailing address is 16479 Dallas Pkwy Ste 320, Addison, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003547670.

Contact Information

Mr Ivan Miranda, PA-C
16479 Dallas Pkwy Ste 320,
Addison, TX 75001-6709
(469) 484-4260
Not Available

Map and Direction




Provider's Profile

Full NameMr Ivan Miranda
GenderMale
SpecialityPhysician Assistant - Medical
Location16479 Dallas Pkwy Ste 320, Addison, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003547670
  • Provider Enumeration Date: 06/23/2022
  • Last Update Date: 04/02/2024

Medical Identifiers

Medical identifiers for Mr Ivan Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003547670NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA17718 (Texas)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. Mr Ivan Miranda is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Ivan Miranda, PA-C
16479 Dallas Pkwy Ste 320,
Addison, TX 75001-6709

Ph: (469) 484-4260
Mr Ivan Miranda, PA-C
16479 Dallas Pkwy Ste 320,
Addison, TX 75001-6709

Ph: (469) 484-4260

Reviews and Comments


Physician Assistant Nurses in Addison, TX

Mr. Mark William Glass,
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Phone: 214-370-3535    Fax: 214-370-0004
Ms. Carla Michele Harris, MSSC PA-C
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Anna A Smith, P.A.
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Practice Location: 17051 Dallas Pkwy Ste 300, Addison, TX 75001
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Tiffany C. Hartman, PA
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Medicare: Accepting Medicare Assignments
Practice Location: 16633 Dallas Pkwy Ste 150, Addison, TX 75001
Phone: 972-380-0030    
Linda Sue Jackson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 17051 Dallas Pkwy, Suite 400, Addison, TX 75001
Phone: 214-370-3535    Fax: 214-370-0004
Sarah Kristyne Heringer, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 17051 North Dallas Parkway, Suite 150, Addison, TX 75001
Phone: 972-733-3090    Fax: 972-733-4565

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.