Blake Miller, DO is a medicare enrolled "Orthopaedic Surgery" physician in Rockford, Michigan. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 2008 and has 17 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Acute Care Surgery Of South Dakota Pc and his current practice location is
120 Marcell Dr Ne Ste C, Rockford, Michigan. You can reach out to his office (for appointments etc.) via phone at
(616) 884-0003.
Blake Miller is licensed to practice in Michigan (license number 5101017873) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952564130.
Physician's Profile
| Full Name | Blake Miller |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 17 Years |
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| Location | 120 Marcell Dr Ne Ste C, Rockford, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Blake Miller attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 2008
NPI Data:
- NPI Number: 1952564130
- Provider Enumeration Date: 07/08/2008
- Last Update Date: 03/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 7618194465
- Enrollment ID: I20241101002011
Medical Identifiers
Medical identifiers for Blake Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1952564130 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207X00000X | Orthopaedic Surgery | 5101017873 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Acute Care Surgery Of South Dakota Pc | 5698195030 | 55 |
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. Blake Miller allows following entities to bill medicare on his behalf.
| Entity Name | Acute Care Surgery Of South Dakota Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730797184 PECOS PAC ID: 5698195030 Enrollment ID: O20201228000468 |
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| Entity Name | Acute Care Surgery Midwest, S.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992380943 PECOS PAC ID: 9931508835 Enrollment ID: O20210526000929 |
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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. Blake 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 |
Blake Miller, DO 120 Marcell Dr Ne Ste C, Rockford, MI 49341-1362 Ph: (616) 884-0003 | Blake Miller, DO 120 Marcell Dr Ne Ste C, Rockford, MI 49341-1362 Ph: (616) 884-0003 |
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