Ms Miranda Jalene Pool, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" provider in Winnebago, Wisconsin. She graduated from healthcare school in 2015 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Anova Medical Associates, Plc and her current practice location is
1300 South Drive, Winnebago, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 235-4910.
Ms Miranda Jalene Pool is licensed to practice in Wisconsin (license number 4641) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1649425091.
Healthcare Provider's Profile
| Full Name | Ms Miranda Jalene Pool |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 10 Years |
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| Location | 1300 South Drive, Winnebago, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Miranda Jalene Pool graduated from medical school in 2015
NPI Data:
- NPI Number: 1649425091
- Provider Enumeration Date: 11/26/2008
- Last Update Date: 06/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 7214247311
- Enrollment ID: I20250516000215
Medical Identifiers
Medical identifiers for Ms Miranda Jalene Pool such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649425091 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | 63151 (Texas) | Secondary |
| 363A00000X | Physician Assistant | (Texas) | Secondary |
| 363A00000X | Physician Assistant | 4641 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Anova Medical Associates, Plc | 8325372741 | 123 |
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 Jalene Pool 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 |
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Ms Miranda Jalene Pool, PHYSICIAN ASSISTANT
17819 Red River Canyon Dr,
Humble, TX 77346-3543
Ph: (832) 810-0200 | Ms Miranda Jalene Pool, PHYSICIAN ASSISTANT
1300 South Drive,
Winnebago, WI 54985-5498
Ph: (920) 235-4910 |
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