Miranda R Proell, CNP is a medicare enrolled "Nurse Practitioner - Family" in Richmond, Minnesota. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Centracare Health-paynesville Llc and her current practice location is
130 1st St Ne, Richmond, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 597-2122.
Miranda R Proell is licensed to practice in Minnesota (license number 11585) 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 1154160422.
Provider's Profile
| Full Name | Miranda R Proell |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 130 1st St Ne, Richmond, Minnesota |
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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:
- Miranda R Proell graduated from nursing school in 2023
NPI Data:
- NPI Number: 1154160422
- Provider Enumeration Date: 05/24/2024
- Last Update Date: 05/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678015401
- Enrollment ID: I20240609000122
Medical Identifiers
Medical identifiers for Miranda R Proell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154160422 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 11585 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Centracare Health-paynesville Llc | 1153555719 | 31 |
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. Miranda R Proell allows following entities to bill medicare on her behalf.
| Entity Name | Centracare Health-paynesville Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629402516
PECOS PAC ID: 1153555719
Enrollment ID: O20140909002390 |
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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. Miranda R Proell 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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Miranda R Proell, CNP
804 3rd Ave Se,
Cold Spring, MN 56320-1457
Ph: (701) 630-2493 | Miranda R Proell, CNP
130 1st St Ne,
Richmond, MN 56368-8183
Ph: (320) 597-2122 |
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