Mauricio Junior Miranda, PA-C in Wauconda, IL - Medicare Physician Assistant

Mauricio Junior Miranda, PA-C is a medicare enrolled "Physician Assistant" in Wauconda, Illinois. His current practice location is 431 W Liberty St, Wauconda, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 526-2151.

Mauricio Junior Miranda is licensed to practice in Illinois (license number 085009878) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1982305462.

Contact Information

	Mauricio Junior Miranda, PA-C
	431 W Liberty St, Wauconda, IL 60084-2452
	(847) 526-2151
	(847) 526-2017

Map and Direction

Provider's Profile

Full Name	Mauricio Junior Miranda
Gender	Male
Speciality	Physician Assistant
Location	431 W Liberty St, Wauconda, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982305462
Provider Enumeration Date: 03/13/2023
Last Update Date: 09/21/2023

Medicare PECOS Information:

PECOS PAC ID: 3971959669
Enrollment ID: I20231101001978

Medical Identifiers

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

Identifier	Type	State	Issuer
1982305462	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	085009878 (Illinois)	Primary

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. Mauricio Junior 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
Mauricio Junior Miranda, PA-C Po Box 6037, Wauconda, IL 60084-6037 Ph: (847) 526-2151	Mauricio Junior Miranda, PA-C 431 W Liberty St, Wauconda, IL 60084-2452 Ph: (847) 526-2151

Reviews and Comments

Physician Assistant Nurses in Wauconda, IL

Shaily Gaudani, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151
Mrs. Kimberly Lynn Swarbrick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017
Stephanie Schroeder, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017
Mr. Kenneth Degner, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017
Rebecca A Patzer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017
Ms. Stacie Wharton, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 431 West Liberty Street, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 815-678-4184
Ms. Sujatha R Gogula, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 815-678-4184

Mauricio Junior Miranda, PA-C - Medicare Physician Assistant in Wauconda, IL