Nicole Autumn Mirjafari, MD in Liverpool, NY

Nicole Autumn Mirjafari, MD is a medicare enrolled "Pediatrics" physician in Liverpool, New York. Her current practice location is 5100 W Taft Rd Ste 1b, Liverpool, New York. You can reach out to her office (for appointments etc.) via phone at (239) 343-9888.

Nicole Autumn Mirjafari is licensed to practice in Florida (license number ME138382) 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 1144325622.

Contact Information

	Nicole Autumn Mirjafari, MD
	5100 W Taft Rd Ste 1b, Liverpool, NY 13088-3808
	(239) 343-9888
	(239) 303-0714

Map and Direction

Physician's Profile

Full Name	Nicole Autumn Mirjafari
Gender	Female
Speciality	Pediatrics
Location	5100 W Taft Rd Ste 1b, Liverpool, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144325622
Provider Enumeration Date: 09/13/2006
Last Update Date: 01/25/2024

Medicare PECOS Information:

PECOS PAC ID: 7315249422
Enrollment ID: I20191220000056

Medical Identifiers

Medical identifiers for Nicole Autumn Mirjafari such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144325622	NPI	-	NPPES
104889000	Medicaid	FL
100768880F	Medicaid	OK
100768880I	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	324770 (New York)	Secondary
208000000X	Pediatrics	Q0568 (Texas)	Secondary
208000000X	Pediatrics	24093 (Oklahoma)	Secondary
208000000X	Pediatrics	ME138382 (Florida)	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. Nicole Autumn Mirjafari 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
Nicole Autumn Mirjafari, MD 5100 W Taft Rd Ste 1b, Liverpool, NY 13088-3808 Ph: (918) 406-2024	Nicole Autumn Mirjafari, MD 5100 W Taft Rd Ste 1b, Liverpool, NY 13088-3808 Ph: (239) 343-9888

Reviews and Comments

Pediatrics Doctors in Liverpool, NY

Meghan Dambach, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4811 Buckley Rd, Liverpool, NY 13088 Phone: 315-457-9966
Brenda R Van Fossen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7375 Oswego Rd, Liverpool, NY 13090 Phone: 315-291-0064 Fax: 315-291-0065
Mrs. Maritza Alvarado, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4811 Buckley Rd, Liverpool, NY 13088 Phone: 315-457-9966 Fax: 315-457-9854
Mrs. Angelle M Cresswell, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Garnoch Ct, Liverpool, NY 13090 Phone: 315-457-0872
Dr. Mary V Green, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4811 Buckley Rd, Liverpool, NY 13088 Phone: 315-457-9966 Fax: 315-457-9854
Fozia Bakshi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4811 Buckley Rd, Liverpool, NY 13088 Phone: 315-457-9966 Fax: 315-379-4900

Nicole Autumn Mirjafari, MD - Medicare Pediatrics in Liverpool, NY