Ms Norma Assuncion Miranda, DDS in Long Beach, CA - Medicare Dentist Provider

Ms Norma Assuncion Miranda, DDS is a medicare enrolled "Dentist - General Practice" provider in Long Beach, California. Her current practice location is 1729 Termino Ave, 1363 S Olive St Los Angeles Ca 90015, Long Beach, California. You can reach out to her office (for appointments etc.) via phone at (562) 494-8400.

Ms Norma Assuncion Miranda is licensed to practice in California (license number 25759) 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 1043221757.

Contact Information

	Ms Norma Assuncion Miranda, DDS
	1729 Termino Ave, 1363 S Olive St Los Angeles Ca 90015, Long Beach, CA 90804-2121
	(562) 494-8400
	(562) 494-8412

Healthcare Provider's Profile

Full Name	Ms Norma Assuncion Miranda
Gender	Female
Speciality	Dentist - General Practice
Location	1729 Termino Ave, Long Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043221757
Provider Enumeration Date: 08/10/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 2668774035
Enrollment ID: I20160104000109

Medical Identifiers

Medical identifiers for Ms Norma Assuncion Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043221757	NPI	-	NPPES
G93855-01	Medicaid	CA
B2575901	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	25759 (California)	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. Ms Norma Assuncion 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 Norma Assuncion Miranda, DDS 1729 Termino Ave, Long Beach, CA 90804-2121 Ph: (562) 494-8400	Ms Norma Assuncion Miranda, DDS 1729 Termino Ave, 1363 S Olive St Los Angeles Ca 90015, Long Beach, CA 90804-2121 Ph: (562) 494-8400

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Ms Norma Assuncion Miranda, DDS - Medicare Dentist in Long Beach, CA