Miral Sapan Amin, MD in Southlake, TX

Miral Sapan Amin, MD is a medicare enrolled "Surgery" physician in Southlake, Texas. Her current practice location is 1230 N Kimball Ave Ste 130, Southlake, Texas. You can reach out to her office (for appointments etc.) via phone at (248) 760-3339.

Miral Sapan Amin is licensed to practice in Texas (license number T7481) 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 1699943720.

Contact Information

	Miral Sapan Amin, MD
	1230 N Kimball Ave Ste 130, Southlake, TX 76092-4750
	(248) 760-3339
	(248) 760-3339

Map and Direction

Physician's Profile

Full Name	Miral Sapan Amin
Gender	Female
Speciality	Surgery
Location	1230 N Kimball Ave Ste 130, Southlake, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699943720
Provider Enumeration Date: 02/12/2008
Last Update Date: 11/04/2025

Medicare PECOS Information:

PECOS PAC ID: 8426173766
Enrollment ID: I20220817000041

Medical Identifiers

Medical identifiers for Miral Sapan Amin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699943720	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	T7481 (Texas)	Primary
208600000X	Surgery	036.133767 (Illinois)	Secondary
208600000X	Surgery	4301085460 (Michigan)	Secondary

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. Miral Sapan Amin allows following entities to bill medicare on her behalf.

Entity Name	Venus Breast Center Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710745559 PECOS PAC ID: 7012457609 Enrollment ID: O20240910002509

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. Miral Sapan Amin 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
Miral Sapan Amin, MD 1230 N Kimball Ave Ste 130, Southlake, TX 76092-4750 Ph: (248) 760-3339	Miral Sapan Amin, MD 1230 N Kimball Ave Ste 130, Southlake, TX 76092-4750 Ph: (248) 760-3339

Reviews and Comments

Surgery Doctors in Southlake, TX

Joseph Radzevich, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 431 E State Highway 114 Ste 450, Southlake, TX 76092 Phone: 817-912-1610 Fax: 817-912-1611
Dr. Robert W Sewell, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1545 E Southlake Blvd, Suite 140, Southlake, TX 76092 Phone: 817-748-0200 Fax: 817-749-0204
Edgar Bedolla, MD Surgery Medicare: Medicare Enrolled Practice Location: 415 E Southlake Blvd Ste 202, Southlake, TX 76092 Phone: 817-416-8080
Maria Valeria Simone, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1545 E Southlake Blvd, Suite 140, Southlake, TX 76092 Phone: 817-748-0200 Fax: 817-749-0204
Dr. Jacob Carlson, MD Surgery Medicare: Medicare Enrolled Practice Location: 415 E Southlake Blvd Ste 101, Southlake, TX 76092 Phone: 817-416-8080
Dr. Grant Alexander Bond, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 415 E Southlake Blvd Ste 101, Southlake, TX 76092 Phone: 817-416-8080

Miral Sapan Amin, MD - Medicare Surgery in Southlake, TX