Kristina Miller, CPNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Wilmer, Alabama. Her current practice location is
6353 2nd St, Wilmer, Alabama. You can reach out to her office (for appointments etc.) via phone at
(251) 410-7425.
Kristina Miller is licensed to practice in Alabama (license number 1-113092) 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 1710550611.
Provider's Profile
| Full Name | Kristina Miller |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Primary Care |
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| Location | 6353 2nd St, Wilmer, Alabama |
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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: 1710550611
- Provider Enumeration Date: 07/20/2021
- Last Update Date: 07/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 0446658082
- Enrollment ID: I20211012000882
Medical Identifiers
Medical identifiers for Kristina Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710550611 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP2300X | Nurse Practitioner - Primary Care | 1-113092 (Alabama) | 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. Kristina Miller allows following entities to bill medicare on her behalf.
| Entity Name | Wilmer Medical Clinic, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649667577 PECOS PAC ID: 4385954379 Enrollment ID: O20151103001918 |
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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. Kristina 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 |
Kristina Miller, CPNP 6353 2nd St, Wilmer, AL 36587-4453 Ph: (251) 410-7425 | Kristina Miller, CPNP 6353 2nd St, Wilmer, AL 36587-4453 Ph: (251) 410-7425 |
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