Marina Aleksandrovna Mironova, MD - Medicare Hospitalist in Aiken, SC

Marina Aleksandrovna Mironova, MD is a medicare enrolled "Hospitalist" physician in Aiken, South Carolina. Her current practice location is 302 University Parkway, Aiken, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 641-5300.

Marina Aleksandrovna Mironova is licensed to practice in South Carolina (license number 26162) 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 1437147139.

Contact Information

Marina Aleksandrovna Mironova, MD
302 University Parkway,
Aiken, SC 29801
(803) 641-5300
(803) 641-5767



Physician's Profile

Full NameMarina Aleksandrovna Mironova
GenderFemale
SpecialityHospitalist
Location302 University Parkway, Aiken, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437147139
  • Provider Enumeration Date: 10/07/2005
  • Last Update Date: 10/18/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 9931138872
  • Enrollment ID: I20050810000939

Medical Identifiers

Medical identifiers for Marina Aleksandrovna Mironova such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437147139NPI-NPPES
P00739354OtherSCRAIL ROAD MEDICARE
P00851424OtherSCRR MEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 26162 (South Carolina)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. Marina Aleksandrovna Mironova allows following entities to bill medicare on her behalf.
Entity NameMcleod Regional Medical Center Of The Pee Dee, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154371433
PECOS PAC ID: 7416851852
Enrollment ID: O20031126000251

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Entity NameCoastal Inpatient Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215043872
PECOS PAC ID: 4688671365
Enrollment ID: O20061024000044

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Entity NameHospital Physician Services - Southeast Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760410385
PECOS PAC ID: 5597774554
Enrollment ID: O20100107000067

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Entity NameSound Physicians Of South Carolina, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922428358
PECOS PAC ID: 6800014762
Enrollment ID: O20140905002528

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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. Marina Aleksandrovna Mironova 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
Marina Aleksandrovna Mironova, MD
302 University Parkway,
Aiken, SC 29801

Ph: (803) 641-5300
Marina Aleksandrovna Mironova, MD
302 University Parkway,
Aiken, SC 29801

Ph: (803) 641-5300

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Hospitalist Doctors in Aiken, SC


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