Cynthia Miranda, PSYD in San Diego, CA - Medicare Psychologist Provider

Cynthia Miranda, PSYD is a medicare enrolled "Psychologist" provider in San Diego, California. Her current practice location is 4060 Fairmount Ave, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 564-8765.

Cynthia Miranda is licensed to practice in California (license number PSY21188) 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 1023186970.

Contact Information

	Cynthia Miranda, PSYD
	4060 Fairmount Ave, San Diego, CA 92105-1608
	(619) 564-8765
	(619) 564-8786

Map and Direction

Healthcare Provider's Profile

Full Name	Cynthia Miranda
Gender	Female
Speciality	Psychologist
Location	4060 Fairmount Ave, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023186970
Provider Enumeration Date: 11/30/2006
Last Update Date: 02/05/2019

Medicare PECOS Information:

PECOS PAC ID: 6305941766
Enrollment ID: I20070508000527

Medical Identifiers

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

Identifier	Type	State	Issuer
1023186970	NPI	-	NPPES
FHC18880F	Other	CA	MEDI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY21188 (California)	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. Cynthia Miranda allows following entities to bill medicare on her behalf.

Entity Name	La Maestra Family Clinic, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306929443 PECOS PAC ID: 7113968512 Enrollment ID: O20050516000901

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. Cynthia 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
Cynthia Miranda, PSYD 4060 Fairmount Ave, San Diego, CA 92105-1608 Ph: (619) 564-8765	Cynthia Miranda, PSYD 4060 Fairmount Ave, San Diego, CA 92105-1608 Ph: (619) 564-8765

Reviews and Comments

Psychologist in San Diego, CA

Dr. Douglas Brackmann, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3101 4th Ave, San Diego, CA 92103 Phone: 858-735-1667 Fax: 619-542-0332
Barton Palmer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Vasdhs Division Of Geriatric Psychiatry 116a, 3350 La Jolla Village Drive, San Diego, CA 92161 Phone: 858-552-8585
Dr. Lina Kogan-sbarbaro, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1050 University Ave Ste E107, San Diego, CA 92103 Phone: 858-504-7743 Fax: 858-216-1928
Dr. Raymond Peng, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 6540 Lusk Blvd Ste C159, San Diego, CA 92121 Phone: 858-888-9683
Meghan Hammel, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 West Arbor Drive, San Diego, CA 92103 Phone: 619-543-2827
Dr. Rodger Stacy Questin, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3702 4th Ave, San Diego, CA 92103 Phone: 760-607-7257
Dr. Jessica Lynette Montoya, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781

Cynthia Miranda, PSYD - Medicare Psychologist in San Diego, CA