Dr Mark Edgar Miller, MD - Medicare Family Practice in Fayetteville, AR

Dr Mark Edgar Miller, MD is a medicare enrolled "Family Medicine" physician in Fayetteville, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Integrated Community Clinics Pa and his current practice location is 2630 E Citizens Dr, Suite 3, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 527-9966.

Dr Mark Edgar Miller is licensed to practice in Arkansas (license number C-8455) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184676041.

Contact Information

Dr Mark Edgar Miller, MD
2630 E Citizens Dr, Suite 3,
Fayetteville, AR 72703-4797
(479) 527-9966
(479) 527-9677

Map and Direction




Physician's Profile

Full NameDr Mark Edgar Miller
GenderMale
SpecialityFamily Practice
Experience31 Years
Location2630 E Citizens Dr, Fayetteville, Arkansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mark Edgar Miller attended and graduated from University Of Arkansas College Of Medicine in 1993
  NPI Data:
  • NPI Number: 1184676041
  • Provider Enumeration Date: 05/17/2006
  • Last Update Date: 09/03/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 4688608722
  • Enrollment ID: I20050919000984

Medical Identifiers

Medical identifiers for Dr Mark Edgar Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184676041NPI-NPPES
129335001MedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine C-8455 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Arkansas Hospice RussellvilleRussellville, ARHospice
Hospice Of North ArkansasSpringdale, ARHospice
Circle Of Life HospiceSpringdale, ARHospice
Washington Regional Med Ctr HoFayetteville, ARHospice
Washington Regional Medical CenterFayetteville, ARHospital
Fayetteville Health And Rehabilitation CenterFayetteville, ARNursing home
North Hills Life Care And RehabFayetteville, ARNursing home
Springdale Health And Rehabilitation CenterSpringdale, ARNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Integrated Community Clinics Pa256736116521

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. Dr Mark Edgar Miller allows following entities to bill medicare on his behalf.
Entity NameIntegrated Community Clinics Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760440226
PECOS PAC ID: 2567361165
Enrollment ID: O20040102000477

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. Dr Mark Edgar Miller 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
Dr Mark Edgar Miller, MD
2630 E Citizens Dr, Suite 3,
Fayetteville, AR 72703-4797

Ph: (479) 527-9966
Dr Mark Edgar Miller, MD
2630 E Citizens Dr, Suite 3,
Fayetteville, AR 72703-4797

Ph: (479) 527-9966

Reviews and Comments


Family Medicine Doctors in Fayetteville, AR

Mr. Eric P B Goodspeed, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703
Phone: 479-463-7102    Fax: 479-463-7864
Dustin Hoover, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 767 W North St, Fayetteville, AR 72701
Phone: 479-966-5088    Fax: 479-282-0469
Dr. Larry D Coker, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3399 Black Forest Dr, Suite 2, Fayetteville, AR 72704
Phone: 479-757-5056    Fax: 479-757-5057
Dr. Carol A Fossey, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 525 N Garland Ave, Fayetteville, AR 72701
Phone: 479-575-6479    Fax: 479-575-8793
Alfred Y Gordon, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3340 N College Ave Ste 5, Fayetteville, AR 72703
Phone: 479-443-3536    Fax: 479-443-3933
Stanley Bradley, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 325 E Longview Street, Fayetteville, AR 72703
Phone: 479-463-7385    Fax: 479-444-7120
Miss Marielie Heidi Agesilas, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1125 N College Ave, Fayetteville, AR 72703
Phone: 479-521-8260    

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.