Michelle R Miller, PA is a medicare enrolled "Physician Assistant - Medical" in Tyndall, Afb, Florida. Her current practice location is
325 Mdg, 340 Magmolia Cir, Tyndall, Afb, Florida. You can reach out to her office (for appointments etc.) via phone at
(608) 797-6826.
Michelle R Miller is licensed to practice in Wisconsin (license number 1349) 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 1497759930.
Provider's Profile
| Full Name | Michelle R Miller |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant - Medical |
|---|
| Location | 325 Mdg, 340 Magmolia Cir, Tyndall, Afb, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497759930
- Provider Enumeration Date: 06/13/2005
- Last Update Date: 05/09/2018
Medicare PECOS Information:
- PECOS PAC ID: 4486788122
- Enrollment ID: I20190125001801
Medical Identifiers
Medical identifiers for Michelle R Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1497759930 | NPI | - | NPPES |
| 41921900 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | 1843 (Minnesota) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 1349 (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. Michelle R 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 |
Michelle R Miller, PA 325 Mdg, 340 Magmolia Cir, Tyndall, Afb, FL 32403 Ph: (608) 797-6826 | Michelle R Miller, PA 325 Mdg, 340 Magmolia Cir, Tyndall, Afb, FL 32403 Ph: (608) 797-6826 |
Reviews and Comments