Ryan Miller, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Marietta, Georgia. His current practice location is
677 Church St Ne, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 793-7742.
Ryan Miller is licensed to practice in * (Not Available) (license number ) 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 1932736931.
Physician's Profile
Full Name | Ryan Miller |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 677 Church St Ne, Marietta, Georgia |
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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: 1932736931
- Provider Enumeration Date: 03/27/2020
- Last Update Date: 05/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 5294157129
- Enrollment ID: I20200623002956
Medical Identifiers
Medical identifiers for Ryan Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932736931 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | 036173239 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Ryan 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 |
Ryan Miller, MD 677 Church St Ne, Marietta, GA 30060-1101 Ph: () - | Ryan Miller, MD 677 Church St Ne, Marietta, GA 30060-1101 Ph: (770) 793-7742 |
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