Look up the most recent NPI and PECOS records

Miranda Lauren Holbrook

Student in an Organized Health Care Education/Training Program

Student, Health Care

26 Hospital Dr Fl 2, Athens, OH 45701-2471

PECOS Enrollment

This provider is enrolled in PECOS as MIRANDA HOLBROOK.

Based on the most recent information from CMS, provider Miranda Lauren Holbrook is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 10:10 AM.

Profile Details

Provider ID
1144089293
Provider Type
Individual
Full Name
Holbrook, Miranda Lauren
Credential
DO

Gender
Female
Sole Proprietor
No
Enumeration Date
3/18/2024
Last Updated
3/18/2024

Contact Information

Practice Location

26 Hospital Dr Fl 2, Athens, OH 45701-2471

(740) 249-4122

Unlisted Fax

Mailing Location

26 Hospital Dr Fl 2, Athens, OH 45701-2471

(740) 249-4122

(740) 249-4126

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer Ohio

Miranda Lauren Holbrook

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Kempker, Samantha

Hill, Jace T

Lee, Grace

Pfaff, Kayla Elizabeth

Keselman, Pauline

Lankford, Randall Keith

Stone, Suzannah Jean

Ward, Andrea

Blandford, Callie Elizabeth

Faso, Nicole