Ms Miranda Street Sudduth, PA-C - Medicare Physician Assistant in Madison, MS

Ms Miranda Street Sudduth, PA-C is a medicare enrolled "Physician Assistant - Medical" in Madison, Mississippi. She graduated from nursing school in 2013 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Madison Medical Rheumatology Llc and her current practice location is 1607 Doctors Drive, Madison, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 927-2146.

Ms Miranda Street Sudduth is licensed to practice in Mississippi (license number PA00212) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1962804211.

Contact Information

Ms Miranda Street Sudduth, PA-C
1607 Doctors Drive,
Madison, MS 39110
(601) 927-2146
Not Available

Map and Direction




Provider's Profile

Full NameMs Miranda Street Sudduth
GenderFemale
SpecialityPhysician Assistant
Experience7 Years
Location1607 Doctors Drive, Madison, Mississippi
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Miranda Street Sudduth graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1962804211
  • Provider Enumeration Date: 09/18/2014
  • Last Update Date: 05/07/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1658696141
  • Enrollment ID: I20150204000086

Medical Identifiers

Medical identifiers for Ms Miranda Street Sudduth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962804211NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA00212 (Mississippi)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Madison Medical Rheumatology Llc48809187053

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 Miranda Street Sudduth 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 Miranda Street Sudduth, PA-C
82 Moss Woods Dr,
Madison, MS 39110-9161

Ph: (601) 927-2146
Ms Miranda Street Sudduth, PA-C
1607 Doctors Drive,
Madison, MS 39110

Ph: (601) 927-2146

Reviews and Comments

Physician Assistant Nurses in Madison, MS

Stephanie Keith, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2173 Main St, Madison, MS 39110
Phone: 601-605-3858    Fax: 601-605-3898

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.