Ms Kelly Miranda, PA-C, MPT - Medicare Physician Assistant in Moreno Valley, CA

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Ms Kelly Miranda, PA-C, MPT is a medicare enrolled "Physician Assistant" in Moreno Valley, California. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice De Anza Orthopedic Medical Group Inc, County Of Riverside and her current practice location is 26520 Cactus Ave, Moreno Valley, California. You can reach out to her office (for appointments etc.) via phone at (951) 486-4698.

Ms Kelly Miranda is licensed to practice in California (license number 52008) 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 1578671558.

Contact Information

Ms Kelly Miranda, PA-C, MPT
26520 Cactus Ave,
Moreno Valley, CA 92555-3927
(951) 486-4698
Not Available

Map and Direction




Provider's Profile

Full NameMs Kelly Miranda
GenderFemale
SpecialityPhysician Assistant
Experience12 Years
Location26520 Cactus Ave, Moreno Valley, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Kelly Miranda graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1578671558
  • Provider Enumeration Date: 08/29/2006
  • Last Update Date: 10/16/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0941216766
  • Enrollment ID: I20151228002002

Medical Identifiers

Medical identifiers for Ms Kelly Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578671558NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 52008 (California)Primary
225100000XPhysical Therapist PT23425 (California)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Riverside University Health System-medical CenterMoreno valley, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
De Anza Orthopedic Medical Group Inc973948137518
County Of Riverside6507754488190

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. Ms Kelly Miranda allows following entities to bill medicare on her behalf.
Entity NameCounty of Riverside
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023122967
PECOS PAC ID: 6507754488
Enrollment ID: O20040310001107
Entity NameDe Anza Orthopedic Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255762340
PECOS PAC ID: 9739481375
Enrollment ID: O20160113001801

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. Ms Kelly 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 AddressPractice Location Address
Ms Kelly Miranda, PA-C, MPT
2358 Shadow Hill Dr,
Riverside, CA 92506-3462

Ph: (951) 369-1675		Ms Kelly Miranda, PA-C, MPT
26520 Cactus Ave,
Moreno Valley, CA 92555-3927

Ph: (951) 486-4698

Reviews and Comments


Physician Assistant Nurses in Moreno Valley, CA

Mrs. Isha Saeeda Taylor, PHYSICIAN ASSISTANT
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Practice Location: 27480 Aromatic Ct, Moreno Valley, CA 92555
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Alyssa Schulz,
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Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555
Phone: 951-486-4000    
Kelly Denise Medina, PA-C
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Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555
Phone: 951-486-4000    
Ms. Tiffany Anh Thu Ha, PA-C
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Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555
Phone: 951-486-4767    
Bryan Brown,
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Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555
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Mr. Douglas Gordon Mccarty I, PHYSICAN ASSISTANT
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Medicare: Medicare Enrolled
Practice Location: 12980 Frederick St Ste I, Moreno Valley, CA 92553
Phone: 951-924-3244    Fax: 951-243-6976
Henna Mohammad,
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Phone: 951-247-8005    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.