Candice Nicole Miller, NP is a medicare enrolled "Nurse Practitioner - Family" in Ingleside, Texas. Her current practice location is
2713 S Main St, Ingleside, Texas. You can reach out to her office (for appointments etc.) via phone at
(361) 776-5101.
Candice Nicole Miller is licensed to practice in Texas (license number AP135369) 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 1518479930.
Provider's Profile
| Full Name | Candice Nicole Miller |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2713 S Main St, Ingleside, Texas |
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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: 1518479930
- Provider Enumeration Date: 10/25/2017
- Last Update Date: 10/25/2017
Medicare PECOS Information:
- PECOS PAC ID: 2062778822
- Enrollment ID: I20171110000356
Medical Identifiers
Medical identifiers for Candice Nicole Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518479930 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP135369 (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. Candice Nicole Miller allows following entities to bill medicare on her behalf.
| Entity Name | Ucp Physicians Of Central Texas, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922289412
PECOS PAC ID: 3173697935
Enrollment ID: O20080729000203 |
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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. Candice 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 |
|---|
Candice Nicole Miller, NP
2713 Main St,
Ingleside, TX 78362-5910
Ph: (361) 776-5101 | Candice Nicole Miller, NP
2713 S Main St,
Ingleside, TX 78362
Ph: (361) 776-5101 |
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