Dr Nathanial R Miletta, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Watertown, New York. He went to State University Of Ny Upstate Medical University and graduated in 2011 and has 14 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Samaritan Medical Center and his current practice location is
826 Washington St Ste 100, Watertown, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 395-4918.
Dr Nathanial R Miletta is licensed to practice in New York (license number 298285) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790083657.
Physician's Profile
| Full Name | Dr Nathanial R Miletta |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 14 Years |
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| Location | 826 Washington St Ste 100, Watertown, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Nathanial R Miletta attended and graduated from State University Of Ny Upstate Medical University in 2011
NPI Data:
- NPI Number: 1790083657
- Provider Enumeration Date: 03/02/2011
- Last Update Date: 05/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 0941513279
- Enrollment ID: I20190814001945
Medical Identifiers
Medical identifiers for Dr Nathanial R Miletta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790083657 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 26961 (Nebraska) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 298285 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Samaritan Medical Center | 8123914876 | 138 |
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 Nathanial R Miletta allows following entities to bill medicare on his behalf.
| Entity Name | Samaritan Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598713745
PECOS PAC ID: 8123914876
Enrollment ID: O20040227000525 |
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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 Nathanial R Miletta 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 |
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Dr Nathanial R Miletta, MD
826 Washington St Ste 100,
Watertown, NY 13601-4071
Ph: (153) 395-4918 | Dr Nathanial R Miletta, MD
826 Washington St Ste 100,
Watertown, NY 13601-4071
Ph: (315) 395-4918 |
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