Dr Johnathan Chance Miller, MD is a medicare enrolled "General Practice" physician in Maplewood, Missouri. His current practice location is
7550 Williams Ave, Maplewood, Missouri. You can reach out to his office (for appointments etc.) via phone at
(817) 682-1897.
Dr Johnathan Chance Miller is licensed to practice in Missouri (license number 2020035594) 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 1235623372.
Physician's Profile
Full Name | Dr Johnathan Chance Miller |
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Gender | Male |
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Speciality | General Practice |
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Location | 7550 Williams Ave, Maplewood, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1235623372
- Provider Enumeration Date: 06/21/2018
- Last Update Date: 11/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 1557771839
- Enrollment ID: I20201028001983
Medical Identifiers
Medical identifiers for Dr Johnathan Chance Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235623372 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 2018020295 (Missouri) | Secondary |
208D00000X | General Practice | 2020035594 (Missouri) | Primary |
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 Johnathan Chance 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 Johnathan Chance Miller, MD 660 S Euclid Avenue, Orthopedics Department, Campus Box 8233, Saint Louis, MO 63110 Ph: (314) 362-5000 | Dr Johnathan Chance Miller, MD 7550 Williams Ave, Maplewood, MO 63143-1220 Ph: (817) 682-1897 |
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