Kimberly Dawn Miller, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Hagerstown, Indiana. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Reid Physician Associates Inc and her current practice location is
4829 N State Road 1, Hagerstown Family Practice, Hagerstown, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 489-3935.
Kimberly Dawn Miller is licensed to practice in Indiana (license number 71005072A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134298276.
Provider's Profile
| Full Name | Kimberly Dawn Miller |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 12 Years |
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| Location | 4829 N State Road 1, Hagerstown, Indiana |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kimberly Dawn Miller graduated from nursing school in 2014
NPI Data:
- NPI Number: 1134298276
- Provider Enumeration Date: 11/06/2006
- Last Update Date: 05/17/2021
Medicare PECOS Information:
- PECOS PAC ID: 8628298007
- Enrollment ID: I20141007001255
Medical Identifiers
Medical identifiers for Kimberly Dawn Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134298276 | NPI | - | NPPES |
| 000001012297 | Other | IN | ANTHEM |
| 201251010 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 71005072A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Reid Physician Associates Inc | 6406910769 | 366 |
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. Kimberly Dawn Miller allows following entities to bill medicare on her behalf.
| Entity Name | Indiana University Health Ball Memorial Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235455544
PECOS PAC ID: 9537072640
Enrollment ID: O20031110000505 |
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| Entity Name | Reid Physician Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265689111
PECOS PAC ID: 6406910769
Enrollment ID: O20090130000573 |
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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. Kimberly Dawn 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 |
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Kimberly Dawn Miller, FNP-C
1100 Reid Pkwy, Medical Staff Services,
Richmond, IN 47374-1157
Ph: (765) 489-3935 | Kimberly Dawn Miller, FNP-C
4829 N State Road 1, Hagerstown Family Practice,
Hagerstown, IN 47346-9620
Ph: (765) 489-3935 |
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