Mira Pistillo, in Spring, TX - Medicare Nurse Practitioner

Mira Pistillo, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Spring, Texas. Her current practice location is 4810 W Panther Creek Dr Ste 203, Spring, Texas. You can reach out to her office (for appointments etc.) via phone at (346) 298-1343.

Mira Pistillo is licensed to practice in Texas (license number 1170902) 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 1336970086.

Contact Information

	Mira Pistillo,
	4810 W Panther Creek Dr Ste 203, Spring, TX 77381-5005
	(346) 298-1343
	Not Available

Map and Direction

Provider's Profile

Full Name	Mira Pistillo
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4810 W Panther Creek Dr Ste 203, Spring, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336970086
Provider Enumeration Date: 08/13/2024
Last Update Date: 07/21/2025

Medicare PECOS Information:

PECOS PAC ID: 5294269312
Enrollment ID: I20241112004535

Medical Identifiers

Medical identifiers for Mira Pistillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336970086	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1170902 (Texas)	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. Mira Pistillo allows following entities to bill medicare on her behalf.

Entity Name	Family Psychiatry Of The Woodlands Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366562225 PECOS PAC ID: 7315952801 Enrollment ID: O20060221000291

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 Pistillo 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
Mira Pistillo, 4810 W Panther Creek Dr Ste 203, Spring, TX 77381-5005 Ph: (346) 298-1343	Mira Pistillo, 4810 W Panther Creek Dr Ste 203, Spring, TX 77381-5005 Ph: (346) 298-1343

Reviews and Comments

Nurse Practitioner Nurses in Spring, TX

Ms. Lea Ann Jackson, F.NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3307 Spring Stuebner Ste. A1, Spring, TX 77389 Phone: 281-528-2273 Fax: 281-528-6283
Paulette Senegal, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5529 Louetta Rd Ste A7, Spring, TX 77379 Phone: 346-296-0520
Amanda Lyn Gray, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4057 Riley Fuzzel Rd Ste 700, Spring, TX 77386 Phone: 832-707-0407
Deidra D Williams, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 Louetta Crossing, Spring, TX 77373 Phone: 281-528-0278 Fax: 281-528-2975
Priscilla Boahemaa, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20511 Spring Mission Ln, Spring, TX 77388 Phone: 832-628-1200
Imelda Bravo Cristal, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7 Skipwith Pl, Spring, TX 77382 Phone: 951-315-0010
Kimbria Nicole Burton, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8707 Spring Cypress Rd Ste E, Spring, TX 77379 Phone: 832-562-3390 Fax: 832-562-3391

Mira Pistillo, - Medicare Nurse Practitioner in Spring, TX