Dr Mireille Joseph Jerome, MD- PA is a
Family Medicine based in Mesa, Arizona. Dr Mireille Joseph Jerome is licensed to practice in Arizona (license number 10398) and her current practice location is
6859 E Rembrandt Ave Ste 117, Mesa, Arizona. She can be reached at her office (for appointments etc.) via phone at
(754) 422-5700.
NPI number for Dr Mireille Joseph Jerome is 1174378673 and her current mailing address is 6859 E Rembrandt Ave Ste 117, Mesa, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174378673.
Provider's Profile
| Full Name | Dr Mireille Joseph Jerome |
|---|
| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 6859 E Rembrandt Ave Ste 117, Mesa, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1174378673
- Provider Enumeration Date: 04/19/2024
- Last Update Date: 09/29/2024
Medical Identifiers
Medical identifiers for Dr Mireille Joseph Jerome such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174378673 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | 1780 (Puerto Rico) | Secondary |
| 207Q00000X | Family Medicine | 10398 (Arizona) | 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. Dr Mireille Joseph Jerome is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Mireille Joseph Jerome, MD- PA 6859 E Rembrandt Ave Ste 117, Mesa, AZ 85212-3630 Ph: (754) 422-5700 | Dr Mireille Joseph Jerome, MD- PA 6859 E Rembrandt Ave Ste 117, Mesa, AZ 85212-3630 Ph: (754) 422-5700 |
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