Kenneth Joel Miller, MD is a medicare enrolled "Ophthalmology" physician in San Pedro, California. His current practice location is
1360 W 6th St, Suite 215, San Pedro, California. You can reach out to his office (for appointments etc.) via phone at
(310) 547-9991.
Kenneth Joel Miller is licensed to practice in California (license number C30205) 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 1073537817.
Physician's Profile
| Full Name | Kenneth Joel Miller |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Location | 1360 W 6th St, San Pedro, California |
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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: 1073537817
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 05/31/2012
Medicare PECOS Information:
- PECOS PAC ID: 5496792962
- Enrollment ID: I20100827000270
Medical Identifiers
Medical identifiers for Kenneth Joel Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073537817 | NPI | - | NPPES |
| GR0042930 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | C30205 (California) | 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. Kenneth Joel Miller allows following entities to bill medicare on his behalf.
| Entity Name | Kenneth J Miller Md A Medical Corp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033131933
PECOS PAC ID: 9234166695
Enrollment ID: O20050718000991 |
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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. Kenneth Joel 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 |
|---|
Kenneth Joel Miller, MD
1360 W 6th St, Suite 215,
San Pedro, CA 90732-3514
Ph: (310) 547-9991 | Kenneth Joel Miller, MD
1360 W 6th St, Suite 215,
San Pedro, CA 90732-3514
Ph: (310) 547-9991 |
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