Mrs Mary Kathleen Miller, DNP, CNM, APRN is a medicare enrolled "Advanced Practice Midwife" in Saint Petersburg, Florida. Her current practice location is
3511 5th Ave N, Saint Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at
(727) 895-2300.
Mrs Mary Kathleen Miller is licensed to practice in Florida (license number ARNP3211042) 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 1114059169.
Provider's Profile
Full Name | Mrs Mary Kathleen Miller |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 3511 5th Ave N, Saint Petersburg, Florida |
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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: 1114059169
- Provider Enumeration Date: 03/12/2007
- Last Update Date: 06/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 6204987662
- Enrollment ID: I20150429000196
Medical Identifiers
Medical identifiers for Mrs Mary Kathleen Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114059169 | NPI | - | NPPES |
3401731 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | ARNP3211042 (Florida) | Secondary |
367A00000X | Advanced Practice Midwife | ARNP3211042 (Florida) | 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. Mrs Mary Kathleen Miller allows following entities to bill medicare on her behalf.
Entity Name | Womens Care Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013902923 PECOS PAC ID: 9234031444 Enrollment ID: O20040127000078 |
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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. Mrs Mary Kathleen 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 |
Mrs Mary Kathleen Miller, DNP, CNM, APRN 13300 Gulf Blvd Apt C, Madeira Beach, FL 33708-2502 Ph: (407) 716-9229 | Mrs Mary Kathleen Miller, DNP, CNM, APRN 3511 5th Ave N, Saint Petersburg, FL 33713-7501 Ph: (727) 895-2300 |
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