Dr Miranda Lyn Edmunds, MD in St Louis, MO

Dr Miranda Lyn Edmunds, MD is a medicare enrolled "Pediatrics" physician in St Louis, Missouri. Her current practice location is 1 Children's Place Msc 8208-0016-01, St Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 454-2527.

Dr Miranda Lyn Edmunds is licensed to practice in Missouri (license number 2019029589) 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 1861987521.

Contact Information

	Dr Miranda Lyn Edmunds, MD
	1 Children's Place Msc 8208-0016-01, St Louis, MO 63110
	(314) 454-2527
	(314) 747-8880

Map and Direction

Physician's Profile

Full Name	Dr Miranda Lyn Edmunds
Gender	Female
Speciality	Pediatrics
Location	1 Children's Place Msc 8208-0016-01, St Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861987521
Provider Enumeration Date: 06/26/2018
Last Update Date: 10/14/2022

Medicare PECOS Information:

PECOS PAC ID: 0345633400
Enrollment ID: I20220214000382

Medical Identifiers

Medical identifiers for Dr Miranda Lyn Edmunds such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861987521	NPI	-	NPPES
200061855	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2019029589 (Missouri)	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. Dr Miranda Lyn Edmunds allows following entities to bill medicare on her behalf.

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194765685 PECOS PAC ID: 9830008770 Enrollment ID: O20040607000287

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 Miranda Lyn Edmunds 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 Miranda Lyn Edmunds, MD 1 Childrens Pl, Msc 8208-0016-01, Saint Louis, MO 63110-1002 Ph: (314) 454-2527	Dr Miranda Lyn Edmunds, MD 1 Children's Place Msc 8208-0016-01, St Louis, MO 63110 Ph: (314) 454-2527

Reviews and Comments

Pediatrics Doctors in St Louis, MO

Dr. Rafael Gutierrez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Pl Msc 8116-0043-08, St Louis, MO 63110 Phone: 314-454-4826 Fax: 314-454-4633
Mrs. Bonita M Wolff, RN CPNP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1465 S Grant Blvd, Cardinal Glennon Childrens Medical Center, St Louis, MO 63104 Phone: 314-577-5648 Fax: 314-268-6448
Dr. Megha Malhotra, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Childrens Pl Cb 8116, St Louis, MO 63110 Phone: 314-454-6018 Fax: 314-454-2780
Danielle St Leger, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 802 N Kingshighway, St Louis, MO 63108 Phone: 314-367-4428 Fax: 314-367-4429
Amy Elizabeth Thomas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1465 South Grand 6644, St Louis, MO 63104 Phone: 314-577-5369
Dr. Daniel Raphael Levinson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Children's Place, St Louis, MO 63110 Phone: 314-454-6173 Fax: 314-454-2412
Dr. Dipika Menon, M.D Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 1465 S Grand Blvd, Division Of Pediatric Cardiology, St Louis, MO 63104 Phone: 314-577-5633 Fax: 314-268-4141

Dr Miranda Lyn Edmunds, MD - Medicare Pediatrics in St Louis, MO