Tricia M Miedema, MD is a medicare enrolled "Emergency Medicine" in Tucson, Arizona. Her current practice location is
1625 N Campbell Ave, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 626-7233.
Tricia M Miedema is licensed to practice in Arizona (license number R79477) 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 1023390507.
Provider's Profile
Full Name | Tricia M Miedema |
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Gender | Female |
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Speciality | Emergency Medicine |
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Location | 1625 N Campbell Ave, Tucson, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1023390507
- Provider Enumeration Date: 09/12/2011
- Last Update Date: 05/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 7113187642
- Enrollment ID: I20220722000164
Medical Identifiers
Medical identifiers for Tricia M Miedema such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023390507 | NPI | - | NPPES |
1588778484 | Other | MI | BCBSM - WMCC |
1023390507 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 5601006114 (Michigan) | Secondary |
207P00000X | Emergency Medicine | R79477 (Arizona) | 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. Tricia M Miedema 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 |
Tricia M Miedema, MD 1625 N Campbell Ave, Tucson, AZ 85719-4330 Ph: (520) 626-7233 | Tricia M Miedema, MD 1625 N Campbell Ave, Tucson, AZ 85719-4330 Ph: (520) 626-7233 |
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