Carla M Miguel, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Minneapolis, Minnesota. Her current practice location is
420 Delaware St Se, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 625-8364.
Carla M Miguel is licensed to practice in * (Not Available) (license number ) 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 1356979769.
Physician's Profile
Full Name | Carla M Miguel |
---|
Gender | Female |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 420 Delaware St Se, Minneapolis, Minnesota |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1356979769
- Provider Enumeration Date: 03/31/2020
- Last Update Date: 07/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 9931627809
- Enrollment ID: I20250514002349
Medical Identifiers
Medical identifiers for Carla M Miguel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356979769 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 79472 (Minnesota) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Carla M Miguel allows following entities to bill medicare on her behalf.
Entity Name | Fairview Express Care |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
---|
Entity Name | University Of Minnesota Health Clinics And Surgery Center Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524 |
---|
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. Carla M Miguel 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 |
Carla M Miguel, 1818 Decatur Ave, North Bellmore, NY 11710-1506 Ph: (516) 761-1608 | Carla M Miguel, 420 Delaware St Se, Minneapolis, MN 55455-0341 Ph: (612) 625-8364 |
Reviews and Comments