| Mrs Lisa M Miranda, PA-C | |
|
568 N Sunrise Ave Ste 250, Roseville, CA 95661 | |
| (916) 865-1140 | |
| Not Available |
| Full Name | Mrs Lisa M Miranda |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 24 Years |
| Location | 568 N Sunrise Ave Ste 250, Roseville, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144314766 | NPI | - | NPPES |
| 970027904 | Other | TN | RAILROAD MEDICARE |
| 2000307 | Other | TN | BCBS OF TN |
| TN0102 | Other | TN | JOHN DEERE |
| 3661837 | Medicaid | TN | |
| 0140208 | Other | TN | UNITED HEALTHCARE |
| 621038898 | Other | TN | TAX ID |
| FP62706 | Other | TN | WORKERS COMP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA1051 (Tennessee) | Secondary |
| 363A00000X | Physician Assistant | PA15570 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Roseville Medical Center | Roseville, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Valley Medical Foundation | 9830094515 | 1919 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lisa M Miranda, PA-C 10470 Old Placerville Rd Ste 100, Sacramento, CA 95827-2539 Ph: (800) 470-0071 | Mrs Lisa M Miranda, PA-C 568 N Sunrise Ave Ste 250, Roseville, CA 95661 Ph: (916) 865-1140 |
Chelsea Marie Brekke, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1528 Eureka Rd, Roseville, CA 95661 Phone: 916-772-5325 | |
Dr. James Doran Wallace, P.A.,D.C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1650 Lead Hill Blvd, Suite 600, Roseville, CA 95661 Phone: 916-765-3785 Fax: 916-361-9869 | |
Becky Tran Ngo, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1528 Eureka Rd Ste 103, Roseville, CA 95661 Phone: 916-772-5325 | |
Matthew Snarr, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 568 N Sunrise Ave, Ste 250, Roseville, CA 95661 Phone: 916-862-1140 Fax: 916-862-1145 | |
Mr. Michael Lee Mccoy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2 Medical Plaza Drive, Suite 264, Roseville, CA 95661 Phone: 916-797-7555 | |
Emily Joy Chalfant, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1002 Down River Ct, Roseville, CA 95747 Phone: 916-749-5773 | |
Ms. Dorothy Ann Zamborsky, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 851 Pleasant Grove Blvd Ste 110, Roseville, CA 95678 Phone: 916-773-9222 |