Mrs Miranda R Dethier, PA-C in Jefferson, WI - Medicare Physician Assistant

Mrs Miranda R Dethier, PA-C is a medicare enrolled "Physician Assistant" in Jefferson, Wisconsin. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Fort Healthcare Inc and her current practice location is 840 W Racine St, Jefferson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 674-6000.

Mrs Miranda R Dethier is licensed to practice in Wisconsin (license number 2758-23) 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 1760770960.

Contact Information

	Mrs Miranda R Dethier, PA-C
	840 W Racine St, Jefferson, WI 53549-1053
	(920) 674-6000
	(920) 674-3034

Map and Direction

Provider's Profile

Full Name	Mrs Miranda R Dethier
Gender	Female
Speciality	Physician Assistant
Experience	13 Years
Location	840 W Racine St, Jefferson, Wisconsin
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:

Mrs Miranda R Dethier graduated from nursing school in 2011

NPI Data:

NPI Number: 1760770960
Provider Enumeration Date: 07/21/2011
Last Update Date: 05/03/2017

Medicare PECOS Information:

PECOS PAC ID: 3779752548
Enrollment ID: I20110811000731

Medical Identifiers

Medical identifiers for Mrs Miranda R Dethier such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760770960	NPI	-	NPPES
1760770960	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	2758-23 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Rainbow Hospice Care	Jefferson, WI	Hospice
Agrace Hospicecare	Madison, WI	Hospice
Fort Memorial Hospital	Fort atkinson, WI	Hospital
University Of Wi Hospitals & Clinics Authority	Madison, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fort Healthcare Inc	0840189718	122

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. Mrs Miranda R Dethier 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
Mrs Miranda R Dethier, PA-C Po Box 249, Fort Atkinson, WI 53538-0249 Ph: (920) 568-5411	Mrs Miranda R Dethier, PA-C 840 W Racine St, Jefferson, WI 53549-1053 Ph: (920) 674-6000

Reviews and Comments

Physician Assistant Nurses in Jefferson, WI

Cheryl A Kolkovich, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 840 W Racine St, Jefferson, WI 53549 Phone: 920-674-6000 Fax: 920-674-3034
Emily Borkowski, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 840 W Racine St, Jefferson, WI 53549 Phone: 920-674-6000
Laura A Huebel, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: W5843 Gehler Rd, Jefferson, WI 53549 Phone: 414-759-4119

Mrs Miranda R Dethier, PA-C - Medicare Physician Assistant in Jefferson, WI