Marisa K Miller, in Kenosha, WI - Medicare Physician Assistant

Marisa K Miller, is a medicare enrolled "Physician Assistant" in Kenosha, Wisconsin. Her current practice location is 10400 75th St Ste 315, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 948-7815.

Marisa K Miller is licensed to practice in Wisconsin (license number 7129-23) 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 1083311534.

Contact Information

	Marisa K Miller,
	10400 75th St Ste 315, Kenosha, WI 53142-7884
	(262) 948-7815
	Not Available

Map and Direction

Provider's Profile

Full Name	Marisa K Miller
Gender	Female
Speciality	Physician Assistant
Location	10400 75th St Ste 315, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083311534
Provider Enumeration Date: 02/14/2023
Last Update Date: 01/02/2024

Medicare PECOS Information:

PECOS PAC ID: 3072988377
Enrollment ID: I20230418001243

Medical Identifiers

Medical identifiers for Marisa K Miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083311534	NPI	-	NPPES
100234029	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	7129-23 (Wisconsin)	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. Marisa K 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
Marisa K Miller, Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250	Marisa K Miller, 10400 75th St Ste 315, Kenosha, WI 53142-7884 Ph: (262) 948-7815

Reviews and Comments

Physician Assistant Nurses in Kenosha, WI

David B Kite, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7000
William T Merritt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6121 Green Bay Rd Ste 100, Kenosha, WI 53142 Phone: 262-945-7557 Fax: 262-727-0841
Miss Sarah Rens, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-656-3590 Fax: 262-656-3591
Ms. Amber D Devine, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7401 104th Ave, Suite 110, Kenosha, WI 53142 Phone: 262-764-5595 Fax: 262-764-9314
Jeffrey Allen Greene, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-6770
Michelle R Nelson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Ave, Suite 505, Kenosha, WI 53143 Phone: 262-656-3525 Fax: 262-656-3560
Nadya M Modlin, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 10400 75th St, Emergency Department, Kenosha, WI 53142 Phone: 262-948-7000

Marisa K Miller, - Medicare Physician Assistant in Kenosha, WI