Tricia M Miedema, MD in Tucson, AZ - Medicare Emergency Medicine

Tricia M Miedema, MD is a medicare enrolled "Emergency Medicine" in Tucson, Arizona. Her current practice location is 1625 N Campbell Ave, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 626-7233.

Tricia M Miedema is licensed to practice in Arizona (license number R79477) 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 1023390507.

Contact Information

	Tricia M Miedema, MD
	1625 N Campbell Ave, Tucson, AZ 85719-4330
	(520) 626-7233
	Not Available

Provider's Profile

Full Name	Tricia M Miedema
Gender	Female
Speciality	Emergency Medicine
Location	1625 N Campbell Ave, Tucson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023390507
Provider Enumeration Date: 09/12/2011
Last Update Date: 05/03/2022

Medicare PECOS Information:

PECOS PAC ID: 7113187642
Enrollment ID: I20220722000164

Medical Identifiers

Medical identifiers for Tricia M Miedema such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023390507	NPI	-	NPPES
1588778484	Other	MI	BCBSM - WMCC
1023390507	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	5601006114 (Michigan)	Secondary
207P00000X	Emergency Medicine	R79477 (Arizona)	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. Tricia M Miedema 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 Address	Practice Location Address
Tricia M Miedema, MD 1625 N Campbell Ave, Tucson, AZ 85719-4330 Ph: (520) 626-7233	Tricia M Miedema, MD 1625 N Campbell Ave, Tucson, AZ 85719-4330 Ph: (520) 626-7233

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Tricia M Miedema, MD - Medicare Emergency Medicine in Tucson, AZ