Betzy Miranda, APRN is a medicare enrolled "Nurse Practitioner" in Weirsdale, Florida. Her current practice location is
16400 S Highway 25, Weirsdale, Florida. You can reach out to her office (for appointments etc.) via phone at
(352) 821-9797.
Betzy Miranda is licensed to practice in Florida (license number APRN11017124) 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 1811644735.
Provider's Profile
| Full Name | Betzy Miranda |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 16400 S Highway 25, Weirsdale, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1811644735
- Provider Enumeration Date: 03/10/2022
- Last Update Date: 10/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789069238
- Enrollment ID: I20220923001608
Medical Identifiers
Medical identifiers for Betzy Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811644735 | NPI | - | NPPES |
| 115472900 | Medicaid | FL | |
| NBADN | Other | FL | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | APRN11017124 (Florida) | 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. Betzy Miranda allows following entities to bill medicare on her behalf.
| Entity Name | Professional Healthcare Of Pinellas Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881647253
PECOS PAC ID: 1658274675
Enrollment ID: O20040128000732 |
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| Entity Name | Weirsdale Family Health Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669548392
PECOS PAC ID: 7214822881
Enrollment ID: O20040812001252 |
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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. Betzy 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 |
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Betzy Miranda, APRN
16400 S Highway 25,
Weirsdale, FL 32195-2442
Ph: (352) 821-9797 | Betzy Miranda, APRN
16400 S Highway 25,
Weirsdale, FL 32195-2442
Ph: (352) 821-9797 |
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