Ms Kelly Miranda, PA-C, MPT is a medicare enrolled "Physician Assistant" provider in Moreno Valley, California. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice De Anza Orthopedic Medical Group Inc and her current practice location is
26520 Cactus Ave, Moreno Valley, California. You can reach out to her office (for appointments etc.) via phone at
(951) 486-4698.
Ms Kelly Miranda is licensed to practice in California (license number 52008) 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 1578671558.
Healthcare Provider's Profile
| Full Name | Ms Kelly Miranda |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 10 Years |
|---|
| Location | 26520 Cactus Ave, Moreno Valley, 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. |
|---|
Medical Education and Training:
- Ms Kelly Miranda graduated from medical school in 2014
NPI Data:
- NPI Number: 1578671558
- Provider Enumeration Date: 08/29/2006
- Last Update Date: 10/16/2014
Medicare PECOS Information:
- PECOS PAC ID: 0941216766
- Enrollment ID: I20151228002002
Medical Identifiers
Medical identifiers for Ms Kelly Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578671558 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT23425 (California) | Secondary |
| 363A00000X | Physician Assistant | 52008 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| De Anza Orthopedic Medical Group Inc | 9739481375 | 18 |
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. Ms Kelly Miranda 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 |
|---|
Ms Kelly Miranda, PA-C, MPT
2358 Shadow Hill Dr,
Riverside, CA 92506-3462
Ph: (951) 369-1675 | Ms Kelly Miranda, PA-C, MPT
26520 Cactus Ave,
Moreno Valley, CA 92555-3927
Ph: (951) 486-4698 |
Reviews and Comments