Dr Michael Miller, DO is a medicare enrolled "General Practice" physician in Kingston, Pennsylvania. His current practice location is
676 Wyoming Ave, Suite 104, Kingston, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 287-1400.
Dr Michael Miller is licensed to practice in Pennsylvania (license number 05008632L) 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 1255394714.
Physician's Profile
| Full Name | Dr Michael Miller |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 676 Wyoming Ave, Kingston, Pennsylvania |
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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: 1255394714
- Provider Enumeration Date: 04/07/2006
- Last Update Date: 04/30/2019
Medicare PECOS Information:
- PECOS PAC ID: 9830154822
- Enrollment ID: I20041201000801
Medical Identifiers
Medical identifiers for Dr Michael Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255394714 | NPI | - | NPPES |
| 001729923 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207V00000X | Obstetrics & Gynecology | OS008632L (Pennsylvania) | Secondary |
| 208D00000X | General Practice | 05008632L (Pennsylvania) | 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. Dr Michael Miller allows following entities to bill medicare on his behalf.
| Entity Name | Debra T Miller Md Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710176466 PECOS PAC ID: 1355439530 Enrollment ID: O20071126000109 |
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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 Michael 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 Michael Miller, DO 480 Pierce St, Ste 205, Kingston, PA 18704-5512 Ph: (570) 287-1400 | Dr Michael Miller, DO 676 Wyoming Ave, Suite 104, Kingston, PA 18704-3857 Ph: (570) 287-1400 |
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