Dr Miles P Light, MD is a medicare enrolled "Clinic/center - Rehabilitation, Substance Use Disorder" physician in Saginaw, Michigan. His current practice location is
3150 Hallmark Ct, Ste 3, Saginaw, Michigan. You can reach out to his office (for appointments etc.) via phone at
(989) 790-9460.
Dr Miles P Light is licensed to practice in * (Not Available) (license number ) 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 1851384457.
Physician's Profile
| Full Name | Dr Miles P Light |
|---|
| Gender | Male |
|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
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| Location | 3150 Hallmark Ct, Saginaw, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1851384457
- Provider Enumeration Date: 08/30/2005
- Last Update Date: 03/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 9931270824
- Enrollment ID: I20080620000102
Medical Identifiers
Medical identifiers for Dr Miles P Light such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851384457 | NPI | - | NPPES |
| 381358216 | Other | | CIGNA |
| 1107301291 | Other | | BCBS |
| 4301066541 | Other | MI | STATE LIC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 4301066541 (Michigan) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | 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 Miles P Light 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 Miles P Light, MD
3150 Hallmark Ct, Ste 3,
Saginaw, MI 48603-2173
Ph: (989) 790-9460 | Dr Miles P Light, MD
3150 Hallmark Ct, Ste 3,
Saginaw, MI 48603-2173
Ph: (989) 790-9460 |
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