Dr Mira Stotland, MD in Thousand Oaks, CA

Dr Mira Stotland, MD is a medicare enrolled "Dermatology" physician in Thousand Oaks, California. She graduated from medical school in 2006 and has 19 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Healthcare Partners Affiliates Medical Group, Forefront Dermatology - Pacific, P.c. and her current practice location is 267 W Hillcrest Dr, Thousand Oaks, California. You can reach out to her office (for appointments etc.) via phone at (805) 497-1694.

Dr Mira Stotland is licensed to practice in California (license number A118635) 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 1104023837.

Contact Information

	Dr Mira Stotland, MD
	267 W Hillcrest Dr, Thousand Oaks, CA 91360-4211
	(805) 497-1694
	(805) 373-7493

Map and Direction

Physician's Profile

Full Name	Dr Mira Stotland
Gender	Female
Speciality	Dermatology
Experience	19 Years
Location	267 W Hillcrest Dr, Thousand Oaks, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Mira Stotland graduated from medical school in 2006

NPI Data:

NPI Number: 1104023837
Provider Enumeration Date: 06/27/2007
Last Update Date: 06/20/2025

Medicare PECOS Information:

PECOS PAC ID: 3476600818
Enrollment ID: I20120404000340

Medical Identifiers

Medical identifiers for Dr Mira Stotland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104023837	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	A118635 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Healthcare Partners Affiliates Medical Group	7315842002	612
Forefront Dermatology - Pacific, P.c.	8325946015	19

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. Dr Mira Stotland allows following entities to bill medicare on her behalf.

Entity Name	Healthcare Partners Affiliates Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659312593 PECOS PAC ID: 7315842002 Enrollment ID: O20031204001258

Entity Name	Forefront Dermatology - Pacific, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356535009 PECOS PAC ID: 8325946015 Enrollment ID: O20031219000212

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. Dr Mira Stotland 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
Dr Mira Stotland, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008	Dr Mira Stotland, MD 267 W Hillcrest Dr, Thousand Oaks, CA 91360-4211 Ph: (805) 497-1694

Reviews and Comments

Dermatology Doctors in Thousand Oaks, CA

Dr. Seth R Stevens, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 267 W Hillcrest Dr, Thousand Oaks, CA 91360 Phone: 805-497-1694 Fax: 805-373-7493
Dr. Peterson Pierre, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 77 E. Rolling Oaks Drive, Suite 207, Thousand Oaks, CA 91361 Phone: 805-496-9190 Fax: 805-496-9185
Dr. Navid Ezra, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3095 Old Conejo Rd, Suite 200, Thousand Oaks, CA 91320 Phone: 805-222-5803
Sean Condon, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 267 W Hillcrest Dr, Thousand Oaks, CA 91360 Phone: 805-497-1694
Dr. Jeanette Kamell Mitchell, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 55 Rolling Oaks Dr Ste 200, Thousand Oaks, CA 91361 Phone: 805-497-7529 Fax: 805-494-3486
Robert A Gold, MD Dermatology Medicare: Medicare Enrolled Practice Location: 45 North Erbes Road, Thousand Oaks, CA 91362 Phone: 818-404-3200

Dr Mira Stotland, MD - Medicare Dermatology in Thousand Oaks, CA