Mistala Miller, LMSW is a medicare enrolled "Social Worker" provider in St Maries, Idaho. Her current practice location is
622 College Ave, St Maries, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 245-4363.
Mistala Miller is licensed to practice in Idaho (license number LMSW36012) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1598213183.
Healthcare Provider's Profile
| Full Name | Mistala Miller |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 622 College Ave, St Maries, Idaho |
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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: 1598213183
- Provider Enumeration Date: 09/13/2016
- Last Update Date: 12/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 5092044826
- Enrollment ID: I20190904001656
Medical Identifiers
Medical identifiers for Mistala Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598213183 | NPI | - | NPPES |
| 2122473 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 38874 (Idaho) | Secondary |
| 104100000X | Social Worker | LMSW36012 (Idaho) | 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. Mistala Miller allows following entities to bill medicare on her behalf.
| Entity Name | Dirne Health Centers, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285686477
PECOS PAC ID: 2466353354
Enrollment ID: O20050303001041 |
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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. Mistala 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 |
|---|
Mistala Miller, LMSW
Po Box 1387,
Hayden, ID 83835-1387
Ph: (208) 415-0299 | Mistala Miller, LMSW
622 College Ave,
St Maries, ID 83861-1822
Ph: (208) 245-4363 |
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