Mario Miranda, DO in Peoria, IL - Medicare Emergency Medicine

Mario Miranda, DO is a medicare enrolled "Emergency Medicine" physician in Peoria, Illinois. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Midwest Emergency Tell City, Inc and his current practice location is 221 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 672-5522.

Mario Miranda is licensed to practice in Illinois (license number ) 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 1376505420.

Contact Information

	Mario Miranda, DO
	221 Ne Glen Oak Ave, Peoria, IL 61603-4307
	(309) 672-5522
	Not Available

Map and Direction

Physician's Profile

Full Name	Mario Miranda
Gender	Male
Speciality	Emergency Medicine
Experience	29 Years
Location	221 Ne Glen Oak Ave, Peoria, Illinois
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:

Mario Miranda graduated from medical school in 1995

NPI Data:

NPI Number: 1376505420
Provider Enumeration Date: 04/04/2006
Last Update Date: 02/05/2008

Medicare PECOS Information:

PECOS PAC ID: 0749173169
Enrollment ID: I20200522000366

Medical Identifiers

Medical identifiers for Mario Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376505420	NPI	-	NPPES
P00196855	Other	IL	RAILROAD MEDICARE
36096715	Other	IL	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(Illinois)	Secondary
207P00000X	Emergency Medicine	(Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Woodlawn Hospital	Rochester, IN	Hospital
Perry County Memorial Hospital	Tell city, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Midwest Emergency Tell City, Inc	0840688610	11

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. Mario Miranda allows following entities to bill medicare on his behalf.

Entity Name	Woodlawn Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639241227 PECOS PAC ID: 4082506993 Enrollment ID: O20040326000043

Entity Name	Midwest Emergency Tell City, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699447540 PECOS PAC ID: 0840688610 Enrollment ID: O20211027002383

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. Mario Miranda 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
Mario Miranda, DO 21276 Network Pl, Chicago, IL 60673-1212 Ph: (877) 485-4474	Mario Miranda, DO 221 Ne Glen Oak Ave, Peoria, IL 61603-4307 Ph: (309) 672-5522

Reviews and Comments

Emergency Medicine Doctors in Peoria, IL

Dr. Austin Lamb, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 N.e. Glen Oak Avenue, Osf St. Francis, Emergency Medicine Residency Program, Peoria, IL 61637 Phone: 309-655-7257
Philip A Fifield, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-2553 Fax: 309-655-2602
Dr. Anthony J Buecker, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 221 Ne Glen Oak Ave, Peoria, IL 61636 Phone: 309-672-5500
Dr. Mark Phillip Gaudio, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-6710
Michael M Raso, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1115 N Bourland Ave, Peoria, IL 61606 Phone: 309-264-0730
Ryan Newberger, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 248-207-2018
Craig D Koch, M.D Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-7257

Mario Miranda, DO - Medicare Emergency Medicine in Peoria, IL