Dr Thomas Benjamin De Miranda, MD - Medicare Family Medicine in Fayetteville, AR

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Dr Thomas Benjamin De Miranda, MD is a medicare enrolled "Family Medicine" physician in Fayetteville, Arkansas. His current practice location is 3790 N Bellafont Blvd, Ste 1, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 439-0777.

Dr Thomas Benjamin De Miranda is licensed to practice in Arkansas (license number E-6411) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689866725.

Contact Information

Dr Thomas Benjamin De Miranda, MD
3790 N Bellafont Blvd, Ste 1,
Fayetteville, AR 72703-5481
(479) 439-0777
(888) 815-1613

Map and Direction




Physician's Profile

Full NameDr Thomas Benjamin De Miranda
GenderMale
SpecialityFamily Medicine
Location3790 N Bellafont Blvd, Fayetteville, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689866725
  • Provider Enumeration Date: 08/13/2007
  • Last Update Date: 05/24/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4981735636
  • Enrollment ID: I20100624000874

Medical Identifiers

Medical identifiers for Dr Thomas Benjamin De Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689866725NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 27166 (Oklahoma)Secondary
207Q00000XFamily Medicine E-6411 (Arkansas)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. Dr Thomas Benjamin De Miranda allows following entities to bill medicare on his behalf.
Entity NameNorthwest Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194768721
PECOS PAC ID: 0244213213
Enrollment ID: O20040610000882
Entity NameBoston Mountain Rural Health Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720096027
PECOS PAC ID: 3870401722
Enrollment ID: O20040701000737
Entity NameSiloam Springs Clinic Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013155431
PECOS PAC ID: 9032275318
Enrollment ID: O20090312000025
Entity NameArkansas Medical & Wellness, Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619389152
PECOS PAC ID: 1951623123
Enrollment ID: O20141126000241
Entity NameBrett Whatcott Do Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003470501
PECOS PAC ID: 9032538814
Enrollment ID: O20201019000126
Entity NameNwa Md Consulting Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679180624
PECOS PAC ID: 4385064096
Enrollment ID: O20201019003047
Entity NameCrossroads Telemedicine Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285371021
PECOS PAC ID: 3072991124
Enrollment ID: O20220602001100
Entity NameHealth Lanes, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750028593
PECOS PAC ID: 4082092135
Enrollment ID: O20220602001358

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. Dr Thomas Benjamin De 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
Dr Thomas Benjamin De Miranda, MD
3790 N Bellafont Blvd, Ste 1,
Fayetteville, AR 72703-5481

Ph: (479) 439-0777		Dr Thomas Benjamin De Miranda, MD
3790 N Bellafont Blvd, Ste 1,
Fayetteville, AR 72703-5481

Ph: (479) 439-0777

Reviews and Comments


Family Medicine Doctors in Fayetteville, AR

Mr. Eric P B Goodspeed, D.O.
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Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703
Phone: 479-463-7102    Fax: 479-463-7864
Dustin Hoover, M.D.
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Practice Location: 767 W North St, Fayetteville, AR 72701
Phone: 479-966-5088    Fax: 479-282-0469
Dr. Larry D Coker, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 3399 Black Forest Dr, Suite 2, Fayetteville, AR 72704
Phone: 479-757-5056    Fax: 479-757-5057
Dr. Carol A Fossey, M.D.
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Medicare: Medicare Enrolled
Practice Location: 525 N Garland Ave, Fayetteville, AR 72701
Phone: 479-575-6479    Fax: 479-575-8793
Alfred Y Gordon, MD
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Practice Location: 3340 N College Ave Ste 5, Fayetteville, AR 72703
Phone: 479-443-3536    Fax: 479-443-3933
Stanley Bradley, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 325 E Longview Street, Fayetteville, AR 72703
Phone: 479-463-7385    Fax: 479-444-7120
Miss Marielie Heidi Agesilas, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1125 N College Ave, Fayetteville, AR 72703
Phone: 479-521-8260    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.