Kristian Rafael Henriquez Mirandona, MD - Medicare Internal Medicine in Angola, IN

Kristian Rafael Henriquez Mirandona, MD is a medicare enrolled "Internal Medicine" physician in Angola, Indiana. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Hospital Care Group Pc and his current practice location is 416 E Maumee St, Angola, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 344-4035.

Kristian Rafael Henriquez Mirandona is licensed to practice in Indiana (license number 01080797A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245671585.

Contact Information

Kristian Rafael Henriquez Mirandona, MD
416 E Maumee St,
Angola, IN 46703-2015
(260) 344-4035
Not Available



Physician's Profile

Full NameKristian Rafael Henriquez Mirandona
GenderMale
SpecialityInternal Medicine
Experience15 Years
Location416 E Maumee St, Angola, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kristian Rafael Henriquez Mirandona graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1245671585
  • Provider Enumeration Date: 07/15/2013
  • Last Update Date: 09/10/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1850681347
  • Enrollment ID: I20180806001618

Medical Identifiers

Medical identifiers for Kristian Rafael Henriquez Mirandona such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245671585NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 01080797A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cameron Memorial Community Hospital IncAngola, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hospital Care Group Pc741610748719

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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. Kristian Rafael Henriquez Mirandona allows following entities to bill medicare on his behalf.
Entity NameHospital Care Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295083624
PECOS PAC ID: 7416107487
Enrollment ID: O20140529001220

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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. Kristian Rafael Henriquez Mirandona 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
Kristian Rafael Henriquez Mirandona, MD
6435 W Jefferson Blvd Pmb 109,
Fort Wayne, IN 46804-6203

Ph: (260) 344-4035
Kristian Rafael Henriquez Mirandona, MD
416 E Maumee St,
Angola, IN 46703-2015

Ph: (260) 344-4035

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Internal Medicine Doctors in Angola, IN

Dr. Simon Peter Crass, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 306 E Maumee St Ste 103, Angola, IN 46703
Phone: 260-667-5148    Fax: 260-266-5238
Wajehe Najafi, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 416 E Maumee St, Angola, IN 46703
Phone: 260-408-5014    
John A Varner, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 306 E Maumee St Ste 104, Angola, IN 46703
Phone: 260-675-7885    Fax: 260-667-5790
Dr. Nelson Moy, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 306 E Maumee St Ste 103, Angola, IN 46703
Phone: 260-667-5148    Fax: 260-667-5689

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