| Alex Sarmen Mirakian, | |
|
3031 Carters Mill Rd, Marianna, FL 32446-1902 | |
| (850) 526-2104 | |
| (850) 482-2445 |
| Full Name | Alex Sarmen Mirakian |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 36 Years |
| Location | 3031 Carters Mill Rd, Marianna, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598807778 | NPI | - | NPPES |
| P01568224 | Other | FL | RR MEDICARE |
| 256925 | Medicaid | AL | |
| 58061 | Other | FL | BCBS |
| P02566934 | Other | AL | RAILROAD MEDICARE |
| P938828 | Other | FL | OPTIMUM |
| A98751A | Other | AL | MEDICARE PTAN |
| 258638 | Medicaid | AL | |
| 9811089 | Other | FL | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | ME158312 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Flowers Hospital | Dothan, AL | Hospital |
| Andalusia Health | Andalusia, AL | Hospital |
| Jackson Hospital | Marianna, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Limitless Partners | 5092168765 | 2 |
| Omni Healthcare, Inc | 5496652380 | 31 |
| Limitless Partners | 5092168765 | 2 |
| Entity Name | Omni Healthcare, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134191323 PECOS PAC ID: 5496652380 Enrollment ID: O20031218000059 |
| Entity Name | Limitless Partners |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538937677 PECOS PAC ID: 5092168765 Enrollment ID: O20240129004463 |
| Mailing Address | Practice Location Address |
|---|---|
| Alex Sarmen Mirakian, Po Box 931176, Atlanta, GA 31193-1176 Ph: () - | Alex Sarmen Mirakian, 3031 Carters Mill Rd, Marianna, FL 32446-1902 Ph: (850) 526-2104 |
Dr. Raul Philip Olazabal, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 4250 Hospital Dr, Marianna, FL 32446 Phone: 850-526-2200 | |
Glenn L. Clark, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4250 Hospital Dr, Marianna, FL 32446 Phone: 850-718-2597 Fax: 850-718-2551 | |
Ayushman Sharma, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4250 Hospital Dr, Marianna, FL 32446 Phone: 850-526-2200 | |
Dr. David Bing Hurst, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 3031 Carters Mill Rd, Marianna, FL 32446 Phone: 850-526-2104 Fax: 850-482-2445 |