Dr David Warren Miller, MD, LAC is a medicare enrolled "Pediatrics" provider in Warrensville Heights, Ohio. His current practice location is
25001 Emery Rd Ste 100, Warrensville Heights, Ohio. You can reach out to his office (for appointments etc.) via phone at
(773) 960-8901.
Dr David Warren Miller is licensed to practice in Illinois (license number 036100091) 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 1174714844.
Healthcare Provider's Profile
| Full Name | Dr David Warren Miller |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 25001 Emery Rd Ste 100, Warrensville Heights, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174714844
- Provider Enumeration Date: 08/07/2007
- Last Update Date: 01/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 0547640963
- Enrollment ID: I20220701001344
Medical Identifiers
Medical identifiers for Dr David Warren Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174714844 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 171100000X | Acupuncturist | 198-000602 (Illinois) | Secondary |
| 208D00000X | General Practice | 036-100091 (Illinois) | Secondary |
| 208000000X | Pediatrics | 036100091 (Illinois) | 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 David Warren Miller allows following entities to bill medicare on his behalf.
| Provider Name | University Primary Care Practices Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1003935339
PECOS PAC ID: 3072417534
Enrollment ID: O20031125000767 |
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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 David Warren 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 Address | Practice Location Address |
|---|
Dr David Warren Miller, MD, LAC
25001 Emery Rd Bldg 25,
Warrensville Heights, OH 44128-5626
Ph: (773) 960-8901 | Dr David Warren Miller, MD, LAC
25001 Emery Rd Ste 100,
Warrensville Heights, OH 44128-5627
Ph: (773) 960-8901 |
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