Kelly Miller, DO is a medicare enrolled "Pediatrics" physician in Stephenville, Texas. Her current practice location is
103 E Frey St Ste 101, Stephenville, Texas. You can reach out to her office (for appointments etc.) via phone at
(254) 918-2484.
Kelly Miller is licensed to practice in Texas (license number K6487) 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 1285783696.
Physician's Profile
| Full Name | Kelly Miller |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 103 E Frey St Ste 101, Stephenville, Texas |
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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: 1285783696
- Provider Enumeration Date: 01/09/2007
- Last Update Date: 10/11/2026
Medicare PECOS Information:
- PECOS PAC ID: 8022375872
- Enrollment ID: I20171202000029
Medical Identifiers
Medical identifiers for Kelly Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1285783696 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | K6487 (Texas) | 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. Kelly Miller allows following entities to bill medicare on her behalf.
| Entity Name | Cook Childrens Physician Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800 |
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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. Kelly 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 |
Kelly Miller, DO Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-1855 | Kelly Miller, DO 103 E Frey St Ste 101, Stephenville, TX 76401-2603 Ph: (254) 918-2484 |
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