MIRANDA LEE NEW PT
NPI 1720680507
Physical Therapist in Lewiston, ME

NPI Status: Active since November 16, 2020

Contact Information

15 STRAWBERRY AVE
LEWISTON, ME
ZIP 04240
Phone: (207) 777-7740

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  • Individual
  • Female
  • Years of Experience 24
  • Physical Therapist
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About MIRANDA NEW

This page provides the complete NPI Profile along with additional information for Miranda New, a provider established in Lewiston, Maine with a medical specialization in Physical Therapist and more than 24 years of experience. She graduated from University Of Vermont College Of Medicine in 2002. The healthcare provider is registered in the NPI registry with number 1720680507 assigned on November 2020. The practitioner's primary taxonomy code is 225100000X with license number PT2669 (ME). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1720680507
Provider Name
MIRANDA LEE NEW PT
Gender
Female
Entity Type
Individual
Location Address
15 STRAWBERRY AVE LEWISTON, ME 04240
Location Phone
(207) 777-7740
Mailing Address
131 RABBIT RD SABATTUS, ME 04280
Mailing Phone
(207) 890-4792
Medical School Name
UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduation Year
2002
Is Sole Proprietor?
No
Enumeration Date
11-16-2020
Last Update Date
11-16-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
PT2669
License State
ME
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Miranda New is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 5395153316

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20210412002205

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $20.64 for a new patient copayment and $16.68 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 04240 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.58
  • Minimum New Patient Price $53.26
  • Maximum New Patient Price $162.77
  • Average New Patient Copayment $20.64
  • Minimum New Patient Copayment $13.31
  • Maximum New Patient Copayment $40.69

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.74
  • Minimum Established Patient Price $16.9
  • Maximum Established Patient Price $132.79
  • Average Established Patient Copayment $16.68
  • Minimum Established Patient Copayment $4.22
  • Maximum Established Patient Copayment $33.19

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MIRANDA LEE NEW PT

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720680507
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2740128050
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 1 + 2 + 8 + 0 + 5 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1720680507 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1518147420 JEAN A. ROUILLARD ST
Individual
Speech-Language Pathologist15 STRAWBERRY AVE
LEWISTON, ME 04240
(207) 777-7740
1700212750MRS. MARY JO BICKFORD B.S.
Individual
Physical Therapist15 STRAWBERRY AVE
LEWISTON, ME 04240
(207) 777-7740
1154600898 MATTHEW MICHAEL GUEDE PT
Individual
Physical Therapist15 STRAWBERRY AVE
LEWISTON, ME 04240
(800) 482-7412
1497721930 ELIZABETH B HART MD
Individual
Family Medicine (Hospice and Palliative Medicine)15 STRAWBERRY AVE ANDROSCOGGIN HOME CARE & HOSPICE
LEWISTON, ME 04240
(207) 777-7740
1689281826 JULIE MARIE THEBARGE PT
Individual
Physical Therapist15 STRAWBERRY AVE
LEWISTON, ME 04240
(207) 777-7740
1396352548 MATTHEW VACHON DPT
Individual
Physical Therapist (Geriatrics)15 STRAWBERRY AVE
LEWISTON, ME 04240
(207) 777-7740
1477938868 KACEY MARIE IRELAND DPT
Individual
Physical Therapist15 STRAWBERRY AVE
LEWISTON, ME 04240
(207) 777-7740
1316549231 COLLIN R SKILLING OTR/L
Individual
Occupational Therapist15 STRAWBERRY AVE
LEWISTON, ME 04240
(207) 576-7381
1245833631 SARAH REESE PT
Individual
Physical Therapist15 STRAWBERRY AVE
LEWISTON, ME 04240
(207) 330-9242
1831214832 ERICA MARIE BOSSE OT
Individual
Occupational Therapist15 STRAWBERRY AVE
LEWISTON, ME 04240
(207) 777-7740
1871896803 STEPHANIE COWIE DPT
Individual
Physical Therapist15 STRAWBERRY AVE
LEWISTON, ME 04240
(207) 777-7740
1477141539 CHRISTIE ANN HUNT PT
Individual
Physical Therapist15 STRAWBERRY AVE
LEWISTON, ME 04240
(207) 777-7740
1902495526MRS. KRISTEN KELLEY ROSS MSPT
Individual
Physical Therapist15 STRAWBERRY AVE
LEWISTON, ME 04240
(207) 777-7740
1104415751 CHRISTINE POULIN RICHARD PT
Individual
Physical Therapist15 STRAWBERRY AVE
LEWISTON, ME 04240
(207) 777-7740
1750971297 MARY E LECONEY OT
Individual
Occupational Therapist15 STRAWBERRY AVE
LEWISTON, ME 04240
(207) 330-9403
1649860743 TERRI GREENWOOD OCCUPATIONAL THERAPI
Individual
Occupational Therapist15 STRAWBERRY AVE
LEWISTON, ME 04240
(207) 777-7740
1811270952 KRISTEL LYNN SAMSON LCSW
Individual
Social Worker (Clinical)15 STRAWBERRY AVE
LEWISTON, ME 04240
(207) 777-7740
1255902128 ABIGAIL YOUNG
Individual
Occupational Therapist15 STRAWBERRY AVE
LEWISTON, ME 04240
(207) 777-7740
1770020299 ELIZABETH BARTON
Individual
Occupational Therapist15 STRAWBERRY AVE
LEWISTON, ME 04240
(207) 777-7740
1376936294 TIFFANY GILBERT OT/L
Individual
Occupational Therapist15 STRAWBERRY AVE
LEWISTON, ME 04240
(207) 777-7740

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720680507, enumerated in the NPI registry as an "individual" on November 16, 2020

The provider is located at 15 Strawberry Ave Lewiston, Me 04240 and the phone number is (207) 777-7740

The provider's speciality is Physical Therapist with taxonomy code 225100000X

The provider has more than 24 years of experience. She graduated from University Of Vermont College Of Medicine in 2002.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Medicare beneficiaries should expect a typical cost of $82.58 with an average copayment of $20.64 for new patient appointments. Established patients should expect a typical charge of $66.74 and an average copayment of 16.68. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on November 16, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.