Mira Raju Brahmbhatt, PA-C is a medicare enrolled "Physician Assistant" physician in West Caldwell, New Jersey. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Nluc Pllc and her current practice location is
1129 Bloomfield Ave, West Caldwell, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 500-2686.
Mira Raju Brahmbhatt is licensed to practice in Texas (license number PA14849) 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 1891348165.
Physician's Profile
| Full Name | Mira Raju Brahmbhatt |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 1129 Bloomfield Ave, West Caldwell, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mira Raju Brahmbhatt graduated from medical school in 2018
NPI Data:
- NPI Number: 1891348165
- Provider Enumeration Date: 07/16/2019
- Last Update Date: 10/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 5092143222
- Enrollment ID: I20210907001950
Medical Identifiers
Medical identifiers for Mira Raju Brahmbhatt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891348165 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 25MP00524400 (New Jersey) | Secondary |
| 363A00000X | Physician Assistant | PATEMP (Texas) | Secondary |
| 363A00000X | Physician Assistant | PA14849 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Nluc Pllc | 3072752302 | 227 |
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. Mira Raju Brahmbhatt 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 |
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Mira Raju Brahmbhatt, PA-C
69 Haggerty Dr,
West Orange, NJ 07052-1437
Ph: () - | Mira Raju Brahmbhatt, PA-C
1129 Bloomfield Ave,
West Caldwell, NJ 07006-7127
Ph: (973) 500-2686 |
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