Johari Nicole Miller, MD in Lafayette, IN

Johari Nicole Miller, MD is a medicare enrolled "Pediatrics" physician in Lafayette, Indiana. Her current practice location is 2600 Ferry St, Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 448-8000.

Johari Nicole Miller is licensed to practice in Indiana (license number 01054451A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467421628.

Contact Information

	Johari Nicole Miller, MD
	2600 Ferry St, Lafayette, IN 47904-3055
	(765) 448-8000
	(765) 448-7611

Map and Direction

Physician's Profile

Full Name	Johari Nicole Miller
Gender	Female
Speciality	Pediatrics
Location	2600 Ferry St, Lafayette, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467421628
Provider Enumeration Date: 03/17/2006
Last Update Date: 01/27/2021

Medicare PECOS Information:

PECOS PAC ID: 9739246158
Enrollment ID: I20090330000169

Medical Identifiers

Medical identifiers for Johari Nicole Miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467421628	NPI	-	NPPES
200336730	Medicaid	IN
000000196762	Other	IN	ANTHEM PROVIDER NUMBER
9397328	Other	IN	PHCS PID NUMBER
10825599	Other	IN	CAQH NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	01054451A (Indiana)	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. Johari Nicole Miller allows following entities to bill medicare on her behalf.

Entity Name	Arnett Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119

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. Johari Nicole 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
Johari Nicole Miller, MD 1200 W White River Blvd, Muncie, IN 47303-4988 Ph: (877) 668-5621	Johari Nicole Miller, MD 2600 Ferry St, Lafayette, IN 47904-3055 Ph: (765) 448-8000

Reviews and Comments

Pediatrics Doctors in Lafayette, IN

Dr. Lylan S. Park, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000
Linnette Sue Maier Woodman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-8227
Sabeena Rana Hubbard, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-838-4698
Lauren E Winsauer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000
Theresa Anne Woods, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7611
Nadeem Abbasi, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-868-6302
Dr. Setshedi Sebata, MD MSC Pediatrics Medicare: Medicare Enrolled Practice Location: 2600 Ferry St, Lafayette, IN 47904 Phone: 765-448-8000

Johari Nicole Miller, MD - Medicare Pediatrics in Lafayette, IN