Dr Thomas Davis Miller Iii, MD - Medicare Pediatrics in Fayetteville, NC

Dr Thomas Davis Miller Iii, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Fayetteville, North Carolina. His current practice location is 1638 Owen Dr, Fayetteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 615-8780.

Dr Thomas Davis Miller Iii is licensed to practice in North Carolina (license number 2010-00914) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497804603.

Contact Information

Dr Thomas Davis Miller Iii, MD
1638 Owen Dr,
Fayetteville, NC 28304-3424
(910) 615-8780
Not Available

Map and Direction




Physician's Profile

Full NameDr Thomas Davis Miller Iii
GenderMale
SpecialityPediatrics - Pediatric Emergency Medicine
Location1638 Owen Dr, Fayetteville, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497804603
  • Provider Enumeration Date: 01/09/2007
  • Last Update Date: 04/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1658446513
  • Enrollment ID: I20141028002713

Medical Identifiers

Medical identifiers for Dr Thomas Davis Miller Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497804603NPI-NPPES
1497804603MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PP0204XEmergency Medicine - Pediatric Emergency Medicine 2010-00914 (North Carolina)Secondary
2080P0204XPediatrics - Pediatric Emergency Medicine 2010-00914 (North Carolina)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. Dr Thomas Davis Miller Iii allows following entities to bill medicare on his behalf.
Entity NameCfvhs Ed Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215931589
PECOS PAC ID: 2961316237
Enrollment ID: O20031119000605
Entity NameEmergency Coverage Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427005008
PECOS PAC ID: 3072412592
Enrollment ID: O20100202000365

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 Thomas Davis Miller Iii 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 Thomas Davis Miller Iii, MD
501 S Sharon Amity Rd Ste 300,
Charlotte, NC 28211-0035

Ph: (704) 377-2424
Dr Thomas Davis Miller Iii, MD
1638 Owen Dr,
Fayetteville, NC 28304-3424

Ph: (910) 615-8780

Reviews and Comments


Pediatrics Doctors in Fayetteville, NC

Dr. Barbara Lynn Appel, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2035 Valleygate Drive, Ste 101, Fayetteville, NC 28304
Phone: 910-484-8009    Fax: 910-484-2005
Mrs. Holly Mallett Richter, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 538 Sandhurst Dr, Fayetteville, NC 28304
Phone: 910-321-7337    Fax: 910-321-0003
Dr. Rita Louise Gunter, M.D
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 227 Fountainhead Lane, Fayetteville, NC 28301
Phone: 910-433-3600    Fax: 910-321-7102
Horace Robert Long, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1606 Morganton Rd, Fayetteville, NC 28305
Phone: 910-484-3121    Fax: 910-484-9027
Dr. Issa Elgendy, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1262 Oliver St, Ste B, Fayetteville, NC 28304
Phone: 910-609-4801    Fax: 910-609-5406
Dr. Anjanette Laurice Mcilwain-mccollum, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 6387 Ramsey St, Suite 240, Fayetteville, NC 28311
Phone: 910-615-3960    Fax: 910-486-2159
Edwin B Robins, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1638 Owen Drive, Fayetteville, NC 28304
Phone: 910-609-4000    

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.