Ms Paula Renee Miksa, PA-C is a
Physician Assistant based in Maynardville, Tennessee. Ms Paula Renee Miksa is licensed to practice in North Carolina (license number 0010-05096) and her current practice location is
598 John Deere Drive, Maynardville, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(865) 992-6060.
NPI number for Ms Paula Renee Miksa is 1548209463 and her current mailing address is 101 W 27th St, Lumberton, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548209463.
Provider's Profile
| Full Name | Ms Paula Renee Miksa |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 598 John Deere Drive, Maynardville, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1548209463
- Provider Enumeration Date: 06/06/2006
- Last Update Date: 10/30/2014
Medical Identifiers
Medical identifiers for Ms Paula Renee Miksa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548209463 | NPI | - | NPPES |
| 229393905 | Other | GA | CHAMPUS |
| 617410018A | Medicaid | GA | |
| 009936047 | Medicaid | AL | |
| 150877 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 003964 (Georgia) | Secondary |
| 363A00000X | Physician Assistant | 1271 (Tennessee) | Secondary |
| 363A00000X | Physician Assistant | 0010-05096 (North Carolina) | Primary |
| 363A00000X | Physician Assistant | PA2079 (South Carolina) | Secondary |
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 Paula Renee Miksa 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 |
|---|
Ms Paula Renee Miksa, PA-C
101 W 27th St,
Lumberton, NC 28358-3014
Ph: (910) 739-0770 | Ms Paula Renee Miksa, PA-C
598 John Deere Drive,
Maynardville, TN 37807
Ph: (865) 992-6060 |
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