Dr Jacquelin Ann Miller, MD is a medicare enrolled "Emergency Medicine" physician in Summerville, Georgia. She went to Medical College Of Georgia School Of Medicine and graduated in 1995 and has 31 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Adventist Health System Georgia Inc and her current practice location is
9777 Rome Blvd, Summerville, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 368-8899.
Dr Jacquelin Ann Miller is licensed to practice in Georgia (license number 043098) 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 1124073325.
Physician's Profile
| Full Name | Dr Jacquelin Ann Miller |
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| Gender | Female |
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| Speciality | Emergency Medicine |
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| Experience | 31 Years |
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| Location | 9777 Rome Blvd, Summerville, Georgia |
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| Accepts Medicare Assignments | Yes. 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 Jacquelin Ann Miller attended and graduated from Medical College Of Georgia School Of Medicine in 1995
NPI Data:
- NPI Number: 1124073325
- Provider Enumeration Date: 05/24/2006
- Last Update Date: 04/29/2026
Medicare PECOS Information:
- PECOS PAC ID: 6305858986
- Enrollment ID: I20060623000069
Medical Identifiers
Medical identifiers for Dr Jacquelin Ann Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1124073325 | NPI | - | NPPES |
| P00313540 | Other | GA | RAILROAD MEDICARE |
| 000762374N | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 043098 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Adventist Health System Georgia Inc | 4486568037 | 247 |
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 Jacquelin Ann Miller allows following entities to bill medicare on her behalf.
| Entity Name | Adventist Health System Georgia Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699791343 PECOS PAC ID: 4486568037 Enrollment ID: O20031203000557 |
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| Entity Name | Gordon Emergency Physicians, LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205290467 PECOS PAC ID: 6406149400 Enrollment ID: O20160728001627 |
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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. Dr Jacquelin Ann 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 |
Dr Jacquelin Ann Miller, MD Po Box 12938, C/o Clinic Management, Calhoun, GA 30703 Ph: (706) 602-7800 | Dr Jacquelin Ann Miller, MD 9777 Rome Blvd, Summerville, GA 30747-1629 Ph: (706) 368-8899 |
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