Ms Miranda Street Sudduth, PA-C in Madison, MS - Medicare Physician Assistant

Ms Miranda Street Sudduth, PA-C is a medicare enrolled "Physician Assistant - Medical" in Madison, Mississippi. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Madison Medical Rheumatology Llc and her current practice location is 1607 Doctors Drive, Madison, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 927-2146.

Ms Miranda Street Sudduth is licensed to practice in Mississippi (license number PA00212) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1962804211.

Contact Information

	Ms Miranda Street Sudduth, PA-C
	1607 Doctors Drive, Madison, MS 39110
	(601) 927-2146
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Miranda Street Sudduth
Gender	Female
Speciality	Physician Assistant
Experience	11 Years
Location	1607 Doctors Drive, Madison, Mississippi
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Miranda Street Sudduth graduated from nursing school in 2013

NPI Data:

NPI Number: 1962804211
Provider Enumeration Date: 09/18/2014
Last Update Date: 05/07/2015

Medicare PECOS Information:

PECOS PAC ID: 1658696141
Enrollment ID: I20150204000086

Medical Identifiers

Medical identifiers for Ms Miranda Street Sudduth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962804211	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA00212 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mississippi Baptist Medical Center	Jackson, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Madison Medical Rheumatology Llc	4880918705	3

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. Ms Miranda Street Sudduth 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
Ms Miranda Street Sudduth, PA-C 82 Moss Woods Dr, Madison, MS 39110-9161 Ph: (601) 927-2146	Ms Miranda Street Sudduth, PA-C 1607 Doctors Drive, Madison, MS 39110 Ph: (601) 927-2146

Reviews and Comments

Physician Assistant Nurses in Madison, MS

Stephanie Keith, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2173 Main St, Madison, MS 39110 Phone: 601-605-3858 Fax: 601-605-3898
Courtney Elizabeth Newsome, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 160 Fountains Blvd Ste B, Madison, MS 39110 Phone: 601-891-2525
Betsy Camille Hood, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 Lexington Dr Ste A, Madison, MS 39110 Phone: 601-707-3771
Amy Allison Yeates, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 935 Highway 51, Madison, MS 39110 Phone: 601-856-5986
Mrs. Haleigh Hanna Bates, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1607 Doctors Dr, Madison, MS 39110 Phone: 769-300-2100
Tara T Walker, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 106 Highland Way Ste 200, Madison, MS 39110 Phone: 601-200-4141 Fax: 601-200-4150
Caroline Tate Baldwyn, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1607 Doctors Dr, Madison, MS 39110 Phone: 769-300-2100

Ms Miranda Street Sudduth, PA-C - Medicare Physician Assistant in Madison, MS