Kelly Miranda, DPM in Sterling, VA - Medicare Podiatrist Provider

Kelly Miranda, DPM is a medicare enrolled "Podiatrist" provider in Sterling, Virginia. Her current practice location is 46440 Benedict Dr Ste 209, Sterling, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 444-9555.

Kelly Miranda is licensed to practice in Georgia (license number POD001543) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184243305.

Contact Information

	Kelly Miranda, DPM
	46440 Benedict Dr Ste 209, Sterling, VA 20164-6602
	(703) 444-9555
	(703) 444-1190

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Miranda
Gender	Female
Speciality	Podiatrist
Location	46440 Benedict Dr Ste 209, Sterling, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184243305
Provider Enumeration Date: 04/09/2020
Last Update Date: 08/26/2025

Medicare PECOS Information:

PECOS PAC ID: 3577921857
Enrollment ID: I20230619000677

Medical Identifiers

Medical identifiers for Kelly Miranda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184243305	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	POD001543 (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. Kelly Miranda allows following entities to bill medicare on her behalf.

Provider Name	Village Podiatry Group Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1508846718 PECOS PAC ID: 4587646971 Enrollment ID: O20040601000776

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. 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 Address	Practice Location Address
Kelly Miranda, DPM 46440 Benedict Dr Ste 209, Sterling, VA 20164-6602 Ph: (703) 444-9555	Kelly Miranda, DPM 46440 Benedict Dr Ste 209, Sterling, VA 20164-6602 Ph: (703) 444-9555

Reviews and Comments

Podiatrist in Sterling, VA

Dr. Samuel Gray, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 46090 Lake Center Plz Ste 204, Sterling, VA 20165 Phone: 703-539-2036 Fax: 703-563-2716
Progressive Feet Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 21155 Whitfield Pl Ste 107, Sterling, VA 20165 Phone: 571-523-1894 Fax: 571-523-1463
Joanna G Shuman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 21475 Ridgetop Cir, Suite 210, Sterling, VA 20166 Phone: 703-421-1900 Fax: 703-433-5006
Dr. Mark D Dollard, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 46440 Benedict Dr, Suite 111, Sterling, VA 20164 Phone: 703-444-9555 Fax: 703-444-1190
Sriya Babu, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 21475 Ridgetop Cir Ste 150, Sterling, VA 20166 Phone: 034-445-0007 Fax: 703-444-4999
Shaan Singh, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 21430 Cedar Dr Ste 211, Sterling, VA 20164 Phone: 703-902-0440

Kelly Miranda, DPM - Medicare Podiatrist in Sterling, VA