Jerry J Miller, MD in Fond Du Lac, WI

Jerry J Miller, MD is a medicare enrolled "Dermatology" physician in Fond Du Lac, Wisconsin. He went to University Of Wisconsin School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice St Vincent Hospital-hospital Sisters-third Order Of St Francis, St. Nicholas Hospital-sisters Of The Third Order Of St Francis and his current practice location is 111 Wisconsin American Dr, Fond Du Lac, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 923-0788.

Jerry J Miller is licensed to practice in Wisconsin (license number 30596) 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 1497758049.

Contact Information

	Jerry J Miller, MD
	111 Wisconsin American Dr, Fond Du Lac, WI 54937-6725
	(920) 923-0788
	(920) 273-0085

Map and Direction

Physician's Profile

Full Name	Jerry J Miller
Gender	Male
Speciality	Dermatology
Experience	36 Years
Location	111 Wisconsin American Dr, Fond Du Lac, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jerry J Miller attended and graduated from University Of Wisconsin School Of Medicine in 1988

NPI Data:

NPI Number: 1497758049
Provider Enumeration Date: 05/27/2005
Last Update Date: 12/09/2020

Medicare PECOS Information:

PECOS PAC ID: 8426025461
Enrollment ID: I20040910000553

Medical Identifiers

Medical identifiers for Jerry J Miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497758049	NPI	-	NPPES
1497758049	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	30596 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Mary's Hospital Medical Center	Green bay, WI	Hospital
St Nicholas Hospital	Sheboygan, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Vincent Hospital-hospital Sisters-third Order Of St Francis	5799694675	562
St. Nicholas Hospital-sisters Of The Third Order Of St Francis	8325931652	150

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. Jerry J Miller allows following entities to bill medicare on his behalf.

Entity Name	St. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172

Entity Name	St Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423

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. Jerry J 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
Jerry J Miller, MD 5225 Grandwood Pl E, La Crosse, WI 54601-2665 Ph: () -	Jerry J Miller, MD 111 Wisconsin American Dr, Fond Du Lac, WI 54937-6725 Ph: (920) 923-0788

Reviews and Comments

Dermatology Doctors in Fond Du Lac, WI

Burt James Steffes, MD Dermatology Medicare: May Accept Medicare Assignments Practice Location: 145 N Main St, Fond Du Lac, WI 54935 Phone: 920-926-8722
James E Schuster, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 305 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8722
Laura B Van Why, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 420 E Division St, Fond Du Lac, WI 54935 Phone: 920-926-8722 Fax: 920-926-8912
Paula Lin, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 111 Wisconsin American Dr, Fond Du Lac, WI 54937 Phone: 920-923-0788 Fax: 920-686-9674

Jerry J Miller, MD - Medicare Dermatology in Fond Du Lac, WI