Mr Matthew Derrick Miller, FNP in Mesa, AZ - Medicare Nurse Practitioner

Mr Matthew Derrick Miller, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mesa, Arizona. His current practice location is 9354 E Thatcher Cir, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 427-8381.

Mr Matthew Derrick Miller is licensed to practice in Arizona (license number 247267) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053926410.

Contact Information

	Mr Matthew Derrick Miller, FNP
	9354 E Thatcher Cir, Mesa, AZ 85212-8539
	(480) 427-8381
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Matthew Derrick Miller
Gender	Male
Speciality	Nurse Practitioner - Family
Location	9354 E Thatcher Cir, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053926410
Provider Enumeration Date: 09/12/2020
Last Update Date: 09/12/2020

Medicare PECOS Information:

PECOS PAC ID: 8820404924
Enrollment ID: I20210316001725

Medical Identifiers

Medical identifiers for Mr Matthew Derrick Miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053926410	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	247267 (Arizona)	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. Mr Matthew Derrick Miller allows following entities to bill medicare on his behalf.

Entity Name	Accurate Care Chiropractic & Acupuncture
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114351228 PECOS PAC ID: 7618103870 Enrollment ID: O20131115001504

Entity Name	Restore Vascular Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396452611 PECOS PAC ID: 3870963325 Enrollment ID: O20221228001408

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. Mr Matthew Derrick 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
Mr Matthew Derrick Miller, FNP 9354 E Thatcher Cir, Mesa, AZ 85212-8539 Ph: () -	Mr Matthew Derrick Miller, FNP 9354 E Thatcher Cir, Mesa, AZ 85212-8539 Ph: (480) 427-8381

Reviews and Comments

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Mr Matthew Derrick Miller, FNP - Medicare Nurse Practitioner in Mesa, AZ