Alfred Alexis Balleza Miranda, - Medicare Physical Therapist in Lithonia, GA

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Alfred Alexis Balleza Miranda, is a medicare enrolled "Physical Therapist" provider in Lithonia, Georgia. His current practice location is 3007 Panola Rd Ste C, Lithonia, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 987-1122.

Alfred Alexis Balleza Miranda is licensed to practice in Georgia (license number PT017569) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1285474759.

Contact Information

Alfred Alexis Balleza Miranda,
3007 Panola Rd Ste C,
Lithonia, GA 30038-2492
(770) 987-1122
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAlfred Alexis Balleza Miranda
GenderMale
SpecialityPhysical Therapist
Location3007 Panola Rd Ste C, Lithonia, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285474759
  • Provider Enumeration Date: 05/30/2024
  • Last Update Date: 03/20/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6608397930
  • Enrollment ID: I20250304000449

Medical Identifiers

Medical identifiers for Alfred Alexis Balleza Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285474759NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 012126 (Connecticut)Secondary
225100000XPhysical Therapist (* (Not Available))Secondary
225100000XPhysical Therapist PT017569 (Georgia)Primary

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. Alfred Alexis Balleza Miranda allows following entities to bill medicare on his behalf.
Provider NameIndependent Physical Therapy Of Georgia Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1780636068
PECOS PAC ID: 2961312244
Enrollment ID: O20040303000396
Provider NameEmory Physical Therapy, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1922018423
PECOS PAC ID: 1153382676
Enrollment ID: O20041019000776
Provider NameBenchmark Physical Therapy, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1083666903
PECOS PAC ID: 1557395209
Enrollment ID: O20050921001120
Provider NameAgilitas Usa, Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1962417444
PECOS PAC ID: 3375454648
Enrollment ID: O20111018000281
Provider NameGeorgia Luna Care Physical Therapy Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1245826999
PECOS PAC ID: 4082027727
Enrollment ID: O20210119001811

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. Alfred Alexis Balleza 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
Alfred Alexis Balleza Miranda,
1200 Corporate Dr Ste 400,
Hoover, AL 35242-5424

Ph: (866) 518-0283		Alfred Alexis Balleza Miranda,
3007 Panola Rd Ste C,
Lithonia, GA 30038-2492

Ph: (770) 987-1122

Reviews and Comments


Physical Therapist in Lithonia, GA

Stephanie Marie Ravalese, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038
Phone: 770-987-1122    Fax: 770-987-1149
Jordan Alliah Davis, PT, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038
Phone: 770-987-1122    Fax: 770-987-1149
Michelle Alade, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038
Phone: 770-987-1122    
Ami Kirollos, DPT
Physical Therapist
Medicare: May Accept Medicare Assignments
Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038
Phone: 770-987-1122    
Shelby Kay Vandeberghe, PT, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 3007 Panola Rd Ste C, Lithonia, GA 30038
Phone: 770-987-1122    Fax: 770-987-1149
Corrine Celeste Bolles, PT, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 6000 Hillandale Dr Ste 145, Lithonia, GA 30058
Phone: 678-418-8072    Fax: 678-418-8072

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.