Mr Ivan Miranda, PA-C - Physician Assistant in Addison, TX

Mr Ivan Miranda, PA-C is a Physician Assistant - Medical based in Addison, Texas. Mr Ivan Miranda is licensed to practice in Texas (license number PA17718) and his current practice location is 16479 Dallas Pkwy Ste 320, Addison, Texas. He can be reached at his office (for appointments etc.) via phone at (469) 484-4260.

NPI number for Mr Ivan Miranda is 1003547670 and his current mailing address is 16479 Dallas Pkwy Ste 320, Addison, Texas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003547670.

Contact Information

Mr Ivan Miranda, PA-C
16479 Dallas Pkwy Ste 320,
Addison, TX 75001-6709
(469) 484-4260
Not Available



Provider's Profile

Full NameMr Ivan Miranda
GenderMale
SpecialityPhysician Assistant - Medical
Location16479 Dallas Pkwy Ste 320, Addison, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003547670
  • Provider Enumeration Date: 06/23/2022
  • Last Update Date: 04/02/2024

Medical Identifiers

Medical identifiers for Mr Ivan Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003547670NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA17718 (Texas)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. Mr Ivan Miranda is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Ivan Miranda, PA-C
16479 Dallas Pkwy Ste 320,
Addison, TX 75001-6709

Ph: (469) 484-4260
Mr Ivan Miranda, PA-C
16479 Dallas Pkwy Ste 320,
Addison, TX 75001-6709

Ph: (469) 484-4260

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Physician Assistant Nurses in Addison, TX

Mr. Mark William Glass,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 17051 Dallas Pkwy Ste 400, Addison, TX 75001
Phone: 214-370-3535    Fax: 214-370-0004
Ms. Carla Michele Harris, MSSC PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5080 Spectrum Dr, Suite 1200 West Tower, Addison, TX 75001
Phone: 972-720-7848    
Anna A Smith, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 17051 Dallas Pkwy Ste 300, Addison, TX 75001
Phone: 214-506-2612    
Tiffany C. Hartman, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 16633 Dallas Pkwy Ste 150, Addison, TX 75001
Phone: 972-380-0030    
Linda Sue Jackson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 17051 Dallas Pkwy, Suite 400, Addison, TX 75001
Phone: 214-370-3535    Fax: 214-370-0004
Sarah Kristyne Heringer, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 17051 North Dallas Parkway, Suite 150, Addison, TX 75001
Phone: 972-733-3090    Fax: 972-733-4565

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