Dr Jacqualin Miller, DO - Medicare Obstetrics/gynecology in Lodi, CA

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Dr Jacqualin Miller, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Lodi, California. She went to Edward Via Col Of Osteo Medicine-virginia Campus and graduated in 2008 and has 18 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Lodi Memorial Hospital Association Inc and her current practice location is 2415 W Vine St Ste 103, Lodi, California. You can reach out to her office (for appointments etc.) via phone at (209) 333-3117.

Dr Jacqualin Miller is licensed to practice in California (license number 12148) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1831345644.

Contact Information

Dr Jacqualin Miller, DO
2415 W Vine St Ste 103,
Lodi, CA 95242-3731
(209) 333-3117
(209) 367-5602

Map and Direction




Physician's Profile

Full NameDr Jacqualin Miller
GenderFemale
SpecialityObstetrics/gynecology
Experience18 Years
Location2415 W Vine St Ste 103, Lodi, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jacqualin Miller attended and graduated from Edward Via Col Of Osteo Medicine-virginia Campus in 2008
  NPI Data:
  • NPI Number: 1831345644
  • Provider Enumeration Date: 08/12/2008
  • Last Update Date: 08/07/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5597980862
  • Enrollment ID: I20140628000054

Medical Identifiers

Medical identifiers for Dr Jacqualin Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831345644NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 12148 (California)Primary
207V00000XObstetrics & Gynecology NOT YET ISSUED (Ohio)Secondary
207V00000XObstetrics & Gynecology 20A12148 (California)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lodi Memorial Hospital Association Inc761888071773

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 Jacqualin Miller allows following entities to bill medicare on her behalf.
Entity NameP. Gill Obstetrics & Gynecology Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386636165
PECOS PAC ID: 9133019755
Enrollment ID: O20040317001320
Entity NameLodi Memorial Hospital Association Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861649352
PECOS PAC ID: 7618880717
Enrollment ID: O20050517000577

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 Jacqualin 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 AddressPractice Location Address
Dr Jacqualin Miller, DO
2546 Kirsten Ct,
Lodi, CA 95240-8883

Ph: (330) 807-0873		Dr Jacqualin Miller, DO
2415 W Vine St Ste 103,
Lodi, CA 95242-3731

Ph: (209) 333-3117

Reviews and Comments


Obstetrics & Gynecology Doctors in Lodi, CA

Manjeet K Bryson, NP RN
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 999 South Fairmont Ste 225, P Gill Obstetrics & Gynecology Medical Grp Inc, Lodi, CA 95240
Phone: 209-334-3343    Fax: 209-334-1430
Philip A Dodd, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 999 S Fairmont Ave, Suite 200, Lodi, CA 95240
Phone: 209-334-3333    Fax: 209-369-2641
Robert Glenn Howen, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 999 S Fairmont Ave, Ste 200, Lodi, CA 95240
Phone: 209-334-3333    
Leslie D Sackschewsky, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 999 S Fairmont Ave, Suite 200, Lodi, CA 95240
Phone: 209-334-3333    Fax: 209-369-2641
Carol Lynn Nakashima, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 999 S Fairmont Ave, Ste 200, Lodi, CA 95240
Phone: 209-334-3333    Fax: 209-369-2641
Dr. Kimberley E Fillmore, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 999 S Fairmont Ave, Ste. 230, Lodi, CA 95240
Phone: 209-334-4924    Fax: 209-334-0127
Dr. Peter Kyung-sun Yang, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1103 Rivergate Dr, Lodi, CA 95240
Phone: 209-334-6593    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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