Isabel Mira-avendano, MD - Medicare Pulmonary Disease in Jacksonville, FL

Isabel Mira-avendano, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Jacksonville, Florida. She graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Pulmonary Disease. She is a member of the group practice Ut Physicians and her current practice location is 4500 San Pablo Rd S, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 953-2000.

Isabel Mira-avendano is licensed to practice in Florida (license number ME114157) 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 1710143359.

Contact Information

Isabel Mira-avendano, MD
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865
(904) 953-2000
Not Available



Physician's Profile

Full NameIsabel Mira-avendano
GenderFemale
SpecialityPulmonary Disease
Experience29 Years
Location4500 San Pablo Rd S, Jacksonville, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Isabel Mira-avendano graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1710143359
  • Provider Enumeration Date: 08/04/2008
  • Last Update Date: 12/13/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 3577713502
  • Enrollment ID: I20200630000624

Medical Identifiers

Medical identifiers for Isabel Mira-avendano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710143359NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease ME114157 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial Hermann - Texas Medical CenterHouston, TXHospital
Memorial Hermann Hospital SystemHouston, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ut Physicians84269603601400

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Isabel Mira-avendano allows following entities to bill medicare on her behalf.
Entity NameUt Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033157821
PECOS PAC ID: 8426960360
Enrollment ID: O20031107000268

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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. Isabel Mira-avendano 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 AddressPractice Location Address
Isabel Mira-avendano, MD
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865

Ph: () -
Isabel Mira-avendano, MD
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865

Ph: (904) 953-2000

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Internal Medicine Doctors in Jacksonville, FL

Dr. Jami Ann Rothe Kinnucan, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Michelle Tulang, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Dr. Minnsun Koh Park, M.D.
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 3900 University Blvd S, Jacksonville, FL 32216
Phone: 904-222-6656    
Sandrela Mussallam Abu Shaibeh,
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 820 Prudential Dr Ste 304, Jacksonville, FL 32207
Phone: 904-202-3860    Fax: 904-202-3846
Krunal Patel, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 4800 Belfort Rd, Jacksonville, FL 32256
Phone: 904-398-7205    Fax: 904-396-4047
Zaid Abdel Rahman, M.D.
Pulmonary Disease
Medicare: Medicare Enrolled
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    
Sina O'sullivan, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224
Phone: 904-953-2000    

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