Kristian Rafael Henriquez Mirandona, MD in Angola, IN

Kristian Rafael Henriquez Mirandona, MD is a medicare enrolled "Internal Medicine" physician in Angola, Indiana. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Hospital Care Group Pc and his current practice location is 416 E Maumee St, Angola, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 344-4035.

Kristian Rafael Henriquez Mirandona is licensed to practice in Indiana (license number 01080797A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245671585.

Contact Information

	Kristian Rafael Henriquez Mirandona, MD
	416 E Maumee St, Angola, IN 46703-2015
	(260) 344-4035
	Not Available

Map and Direction

Physician's Profile

Full Name	Kristian Rafael Henriquez Mirandona
Gender	Male
Speciality	Internal Medicine
Experience	15 Years
Location	416 E Maumee St, Angola, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kristian Rafael Henriquez Mirandona graduated from medical school in 2009

NPI Data:

NPI Number: 1245671585
Provider Enumeration Date: 07/15/2013
Last Update Date: 09/10/2018

Medicare PECOS Information:

PECOS PAC ID: 1850681347
Enrollment ID: I20180806001618

Medical Identifiers

Medical identifiers for Kristian Rafael Henriquez Mirandona such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245671585	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	01080797A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Cameron Memorial Community Hospital Inc	Angola, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hospital Care Group Pc	7416107487	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. Kristian Rafael Henriquez Mirandona allows following entities to bill medicare on his behalf.

Entity Name	Hospital Care Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295083624 PECOS PAC ID: 7416107487 Enrollment ID: O20140529001220

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. Kristian Rafael Henriquez Mirandona 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
Kristian Rafael Henriquez Mirandona, MD 6435 W Jefferson Blvd Pmb 109, Fort Wayne, IN 46804-6203 Ph: (260) 344-4035	Kristian Rafael Henriquez Mirandona, MD 416 E Maumee St, Angola, IN 46703-2015 Ph: (260) 344-4035

Reviews and Comments

Internal Medicine Doctors in Angola, IN

Dr. Simon Peter Crass, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 306 E Maumee St Ste 103, Angola, IN 46703 Phone: 260-667-5148 Fax: 260-266-5238
Wajehe Najafi, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 416 E Maumee St, Angola, IN 46703 Phone: 260-408-5014
John A Varner, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 306 E Maumee St Ste 104, Angola, IN 46703 Phone: 260-675-7885 Fax: 260-667-5790
Dr. Nelson Moy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 306 E Maumee St Ste 103, Angola, IN 46703 Phone: 260-667-5148 Fax: 260-667-5689

Kristian Rafael Henriquez Mirandona, MD - Medicare Internal Medicine in Angola, IN