Mr Miller Donophan Knight Jr, LPC in Roscoe, IL

Mr Miller Donophan Knight Jr, LPC is a medicare enrolled "Counselor - Professional" provider in Roscoe, Illinois. His current practice location is 5290 Williams Dr, Roscoe, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 324-0324.

Mr Miller Donophan Knight Jr is licensed to practice in Illinois (license number 178019202) 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 1962593079.

Contact Information

	Mr Miller Donophan Knight Jr, LPC
	5290 Williams Dr, Roscoe, IL 61073-9222
	(815) 324-0324
	(866) 927-3053

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Miller Donophan Knight Jr
Gender	Male
Speciality	Counselor - Professional
Location	5290 Williams Dr, Roscoe, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962593079
Provider Enumeration Date: 09/27/2006
Last Update Date: 02/15/2024

Medicare PECOS Information:

PECOS PAC ID: 7810336880
Enrollment ID: I20250605002402

Medical Identifiers

Medical identifiers for Mr Miller Donophan Knight Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962593079	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	178019202 (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. Mr Miller Donophan Knight Jr allows following entities to bill medicare on his behalf.

Entity Name	Kathleen E Cox Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821360181 PECOS PAC ID: 3173962339 Enrollment ID: O20240729001089

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. Mr Miller Donophan Knight Jr 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
Mr Miller Donophan Knight Jr, LPC 5290 Williams Dr, Roscoe, IL 61073-9222 Ph: (815) 324-0324	Mr Miller Donophan Knight Jr, LPC 5290 Williams Dr, Roscoe, IL 61073-9222 Ph: (815) 324-0324

Reviews and Comments

Counselor in Roscoe, IL

Joseph T Marella, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11447 2nd St Ste 9b, Roscoe, IL 61073 Phone: 815-601-4673 Fax: 866-303-8062
Jamie R Wagner, LCPC, LPC, RPT-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 11447 2nd St, Suite 9b, Roscoe, IL 61073 Phone: 815-601-4673 Fax: 866-303-8062
Mrs. Amanda Dee Musfelt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5290 Williams Dr, Roscoe, IL 61073 Phone: 815-324-0324
Mrs. Jamilyn Louise Desanti, MSW, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 11447 2nd St Ste 9b, Roscoe, IL 61073 Phone: 815-601-4673 Fax: 866-303-8062
Sreeka Bharani, CRC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11447 2nd St, Roscoe, IL 61073 Phone: 815-623-2020
Regino Isidro Sta Cruz Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 5290 Williams Dr, Roscoe, IL 61073 Phone: 815-324-0324
Mrs. Allison Diane Braswell, MSW, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4675 Bluestem Rd, Roscoe, IL 61073 Phone: 815-978-1067 Fax: 779-537-4555

Mr Miller Donophan Knight Jr, LPC - Medicare Counselor in Roscoe, IL