Louella M Miranda, MD - Medicare Pediatrics in Elmhurst, NY

Louella M Miranda, MD is a medicare enrolled "Pediatrics" physician in Elmhurst, New York. Her current practice location is 88-31 55th Avenue, Suite 201, Elmhurst, New York. You can reach out to her office (for appointments etc.) via phone at (718) 899-6600.

Louella M Miranda is licensed to practice in New York (license number 193873) 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 1154360840.

Contact Information

Louella M Miranda, MD
88-31 55th Avenue, Suite 201,
Elmhurst, NY 11373-4686
(718) 899-6600
(718) 606-3881



Physician's Profile

Full NameLouella M Miranda
GenderFemale
SpecialityPediatrics
Location88-31 55th Avenue, Elmhurst, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154360840
  • Provider Enumeration Date: 06/06/2006
  • Last Update Date: 03/03/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1052340056
  • Enrollment ID: I20050810000507

Medical Identifiers

Medical identifiers for Louella M Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154360840NPI-NPPES
01723642MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 193873 (New York)Primary

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. Louella M Miranda allows following entities to bill medicare on her behalf.
Entity NameAdvantagecare Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336578772
PECOS PAC ID: 2365735008
Enrollment ID: O20160719000446

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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. Louella M 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 AddressPractice Location Address
Louella M Miranda, MD
55 Water Street, 2nd Floor Cred Dept,
New York, NY 10041-0004

Ph: (646) 680-2888
Louella M Miranda, MD
88-31 55th Avenue, Suite 201,
Elmhurst, NY 11373-4686

Ph: (718) 899-6600

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Pediatrics Doctors in Elmhurst, NY

Carlos Andres Paredes Ponce, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7901 Broadway, Elmhurst, NY 11373
Phone: 718-334-3050    
Oleg Sirkis, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7901 Broadway, Room A1-9, Elmhurst, NY 11373
Phone: 718-334-4952    Fax: 718-334-4815
Tina Q Cheng, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7901 Broadway, Suite A1-18, Elmhurst, NY 11373
Phone: 718-334-1991    Fax: 718-334-1971
Maria Christina Stavroulakis,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7901 Broadway, Elmhurst, NY 11373
Phone: 718-334-2156    
Melvin Gertner, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 7901 Broadway, Room A1-9, Elmhurst, NY 11373
Phone: 718-334-4952    Fax: 718-334-4815
Azfar Shabbir, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 79-01 Broadway, Room A1-9, Elmhurst, NY 11373
Phone: 718-334-4952    Fax: 718-334-4815
Lucy Lim, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 7901 Broadway, Rooma1-9, Elmhurst, NY 11373
Phone: 718-334-4952    Fax: 718-334-4815

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