Cynthia Miranda, PSYD - Medicare Psychologist in San Diego, CA

Cynthia Miranda, PSYD is a medicare enrolled "Psychologist" provider in San Diego, California. Her current practice location is 4060 Fairmount Ave, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 564-8765.

Cynthia Miranda is licensed to practice in California (license number PSY21188) 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 1023186970.

Contact Information

Cynthia Miranda, PSYD
4060 Fairmount Ave,
San Diego, CA 92105-1608
(619) 564-8765
(619) 564-8786



Healthcare Provider's Profile

Full NameCynthia Miranda
GenderFemale
SpecialityPsychologist
Location4060 Fairmount Ave, San Diego, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023186970
  • Provider Enumeration Date: 11/30/2006
  • Last Update Date: 02/05/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6305941766
  • Enrollment ID: I20070508000527

Medical Identifiers

Medical identifiers for Cynthia Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023186970NPI-NPPES
FHC18880FOtherCAMEDI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY21188 (California)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. Cynthia Miranda allows following entities to bill medicare on her behalf.
Entity NameLa Maestra Family Clinic, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306929443
PECOS PAC ID: 7113968512
Enrollment ID: O20050516000901

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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. Cynthia 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
Cynthia Miranda, PSYD
4060 Fairmount Ave,
San Diego, CA 92105-1608

Ph: (619) 564-8765
Cynthia Miranda, PSYD
4060 Fairmount Ave,
San Diego, CA 92105-1608

Ph: (619) 564-8765

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Psychologist in San Diego, CA

Dr. Douglas Brackmann, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3101 4th Ave, San Diego, CA 92103
Phone: 858-735-1667    Fax: 619-542-0332
Barton Palmer, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: Vasdhs Division Of Geriatric Psychiatry 116a, 3350 La Jolla Village Drive, San Diego, CA 92161
Phone: 858-552-8585    
Dr. Lina Kogan-sbarbaro, PHD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 1050 University Ave Ste E107, San Diego, CA 92103
Phone: 858-504-7743    Fax: 858-216-1928
Dr. Raymond Peng, PSYD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 6540 Lusk Blvd Ste C159, San Diego, CA 92121
Phone: 858-888-9683    
Meghan Hammel, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 200 West Arbor Drive, San Diego, CA 92103
Phone: 619-543-2827    
Dr. Rodger Stacy Questin, PHD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 3702 4th Ave, San Diego, CA 92103
Phone: 760-607-7257    
Dr. Jessica Lynette Montoya, PHD
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 200 W Arbor Dr, San Diego, CA 92103
Phone: 800-926-8273    Fax: 888-539-8781

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