Nicholas Miller, LPC in Mesa, AZ - Medicare Counselor Provider

Nicholas Miller, LPC is a medicare enrolled "Counselor - Professional" provider in Mesa, Arizona. His current practice location is 1255 W Baseline Rd Ste B258, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 820-0825.

Nicholas Miller is licensed to practice in Arizona (license number LPC-17291) 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 1194297010.

Contact Information

	Nicholas Miller, LPC
	1255 W Baseline Rd Ste B258, Mesa, AZ 85202-5820
	(480) 820-0825
	(480) 820-7863

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas Miller
Gender	Male
Speciality	Counselor - Professional
Location	1255 W Baseline Rd Ste B258, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194297010
Provider Enumeration Date: 12/18/2018
Last Update Date: 12/18/2018

Medicare PECOS Information:

PECOS PAC ID: 4486163904
Enrollment ID: I20250604003534

Medical Identifiers

Medical identifiers for Nicholas Miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194297010	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC-17291 (Arizona)	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. Nicholas Miller allows following entities to bill medicare on his behalf.

Entity Name	Mental Health Specialty Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240809002648

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. Nicholas 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
Nicholas Miller, LPC 1255 W Baseline Rd Ste B258, Mesa, AZ 85202-5820 Ph: (480) 820-0825	Nicholas Miller, LPC 1255 W Baseline Rd Ste B258, Mesa, AZ 85202-5820 Ph: (480) 820-0825

Reviews and Comments

Counselor in Mesa, AZ

Megan Feeney, MAFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 4250 N. Florian Ave Bldg 1, Mesa, AZ 85206 Phone: 480-969-3800 Fax: 480-644-1557
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Dr. Ronald Earl Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3846 E Dartmouth St, Mesa, AZ 85205 Phone: 480-229-1722
Dr. Lisa Loree Gold, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 6106 E Brown Rd, Suite #102, Mesa, AZ 85205 Phone: 602-550-9393
Mrs. Tracy Kerr Carson, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1830 S Alma School Rd, Suite 112, Mesa, AZ 85210 Phone: 480-730-6222
Roban Kubic, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1845 S Dobson Rd, Suite 104, Mesa, AZ 85202 Phone: 480-403-1651 Fax: 480-874-3767
Eric Felber, M.A., LPC Counselor Medicare: Medicare Enrolled Practice Location: 2204 S Dobson Rd Ste 102, Mesa, AZ 85202 Phone: 602-230-7373 Fax: 480-628-8577

Nicholas Miller, LPC - Medicare Counselor in Mesa, AZ