Malissa Miller, NURSE PRACTITIONER - Medicare Nurse Practitioner in Columbia, IL

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Malissa Miller, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Columbia, Illinois. She graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice My Mobile Md Illinois Llc, Our Urgent Care Llc and her current practice location is 107 N Main St Ste 2a, Columbia, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 693-9313.

Malissa Miller is licensed to practice in Illinois (license number 277002437) 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 1285113217.

Contact Information

Malissa Miller, NURSE PRACTITIONER
107 N Main St Ste 2a,
Columbia, IL 62236-1757
(618) 693-9313
Not Available

Map and Direction




Provider's Profile

Full NameMalissa Miller
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location107 N Main St Ste 2a, Columbia, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Malissa Miller graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1285113217
  • Provider Enumeration Date: 08/10/2018
  • Last Update Date: 11/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6901157932
  • Enrollment ID: I20181008001657

Medical Identifiers

Medical identifiers for Malissa Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285113217NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 277002437 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
My Mobile Md Illinois Llc09417012395
Our Urgent Care Llc57997824963

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. Malissa Miller allows following entities to bill medicare on her behalf.
Entity NameGranite City Urgent Care Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659861953
PECOS PAC ID: 1951658285
Enrollment ID: O20180718001473
Entity NameBelleville Urgent Care Walk-in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225694946
PECOS PAC ID: 4183050362
Enrollment ID: O20200213000608
Entity NameWaterloo Urgent Care Walk In Clinic Company
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508471418
PECOS PAC ID: 3971911009
Enrollment ID: O20210409000649
Entity NameAlton Urgent Care Walk In Clinic Company
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013521343
PECOS PAC ID: 2961810890
Enrollment ID: O20210414001646

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. Malissa 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 AddressPractice Location Address
Malissa Miller, NURSE PRACTITIONER
107 N Main St Ste 2a,
Columbia, IL 62236-1757

Ph: (618) 693-9313		Malissa Miller, NURSE PRACTITIONER
107 N Main St Ste 2a,
Columbia, IL 62236-1757

Ph: (618) 693-9313

Reviews and Comments


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Adriana Juanita Corwin,
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Dana M Grosch, FNP
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Phone: 618-281-8400    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.