Miranda Dawn Riffle, OTR/L is a medicare enrolled "Occupational Therapist" provider in Grafton, West Virginia. She went to West Virginia University School Of Medicine and graduated in 2008 and has 18 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. She is a member of the group practice Odom Sports Medicine Pa and her current practice location is
8 Rose St, Grafton, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 363-4891.
Miranda Dawn Riffle is licensed to practice in Minnesota (license number 107467) 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 1629208491.
Healthcare Provider's Profile
| Full Name | Miranda Dawn Riffle |
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| Gender | Female |
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| Speciality | Occupational Therapist In Private Practice |
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| Experience | 18 Years |
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| Location | 8 Rose St, Grafton, West Virginia |
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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 Dawn Riffle attended and graduated from West Virginia University School Of Medicine in 2008
NPI Data:
- NPI Number: 1629208491
- Provider Enumeration Date: 07/15/2009
- Last Update Date: 07/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 2668919853
- Enrollment ID: I20240806001623
Medical Identifiers
Medical identifiers for Miranda Dawn Riffle such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629208491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | 5408 (South Carolina) | Secondary |
| 225X00000X | Occupational Therapist | 31007825A (Indiana) | Secondary |
| 225X00000X | Occupational Therapist | 1389 (West Virginia) | Secondary |
| 225X00000X | Occupational Therapist | 107467 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Odom Sports Medicine Pa | 0143485607 | 66 |
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 Dawn Riffle allows following entities to bill medicare on her behalf.
| Provider Name | Odom Sports Medicine Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1275557886
PECOS PAC ID: 0143485607
Enrollment ID: O20120706000533 |
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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 Dawn Riffle 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 Dawn Riffle, OTR/L
520 Mulligan Drive,
Zumbrota, MN 55992
Ph: (219) 805-2539 | Miranda Dawn Riffle, OTR/L
8 Rose St,
Grafton, WV 26354-1678
Ph: (304) 363-4891 |
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