Mark Miller, DO in Grand Rapids, MI - Medicare Emergency Medicine

Mark Miller, DO is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Grand Rapids, Michigan. His current practice location is 200 Jefferson Ave Se, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (800) 968-6866.

Mark Miller is licensed to practice in Michigan (license number 010914) 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 1447245501.

Contact Information

	Mark Miller, DO
	200 Jefferson Ave Se, Grand Rapids, MI 49503-4502
	(800) 968-6866
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark Miller
Gender	Male
Speciality	Emergency Medicine - Emergency Medical Services
Location	200 Jefferson Ave Se, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447245501
Provider Enumeration Date: 09/14/2005
Last Update Date: 05/01/2009

Medicare PECOS Information:

PECOS PAC ID: 1355233081
Enrollment ID: I20060202000166

Medical Identifiers

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

Identifier	Type	State	Issuer
1447245501	NPI	-	NPPES
930026760	Other	MI	RAILROAD MEDICARE
3169504	Medicaid	MI
MM010914	Other		BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	5101010914 (Michigan)	Secondary
207PE0004X	Emergency Medicine - Emergency Medical Services	010914 (Michigan)	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. Mark Miller allows following entities to bill medicare on his behalf.

Entity Name	Ascension Borgess Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568416311 PECOS PAC ID: 5294645750 Enrollment ID: O20040209000029

Entity Name	Kalamazoo Emergency Associates, Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942251244 PECOS PAC ID: 5890685473 Enrollment ID: O20040317001078

Entity Name	Cep America Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912687328 PECOS PAC ID: 6608056171 Enrollment ID: O20230815000906

Entity Name	Vituity-michigan Health Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750102323 PECOS PAC ID: 9931635430 Enrollment ID: O20241206002802

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. Mark 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
Mark Miller, DO Po Box Q, Grand Rapids, MI 49501-4917 Ph: (800) 968-6866	Mark Miller, DO 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 Ph: (800) 968-6866

Reviews and Comments

Emergency Medicine Doctors in Grand Rapids, MI

Kristin Inger, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 145 Michigan St Ne Ste 3410, Grand Rapids, MI 49503 Phone: 616-391-9945
Dr. Adam Michael Anderson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-685-5000
Mark Greenwood, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Mc 71, Grand Rapids, MI 49503 Phone: 616-391-5310
Raymond Scurek, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1680 Fax: 616-285-0846
Mark G Kanitz, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-1680
Dr. Calista Kaitlyn Prohaska, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 100 Michigan St Ne # Mc188, Grand Rapids, MI 49503 Phone: 616-391-1680
Dr. Sara Rish Urquhart, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1840 Wealthy St Se, Grand Rapids, MI 49506 Phone: 616-391-1730 Fax: 616-285-0846

Mark Miller, DO - Medicare Emergency Medicine in Grand Rapids, MI