Mrs Melissa N Miller, PA-C in Appleton, WI - Medicare Physician Assistant

Mrs Melissa N Miller, PA-C is a medicare enrolled "Physician Assistant - Medical" in Appleton, Wisconsin. Her current practice location is 2809 N Park Drive Ln, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 380-4999.

Mrs Melissa N Miller is licensed to practice in Wisconsin (license number 4250) 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 1649588914.

Contact Information

	Mrs Melissa N Miller, PA-C
	2809 N Park Drive Ln, Appleton, WI 54911-1603
	(920) 380-4999
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Melissa N Miller
Gender	Female
Speciality	Physician Assistant - Medical
Location	2809 N Park Drive Ln, Appleton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649588914
Provider Enumeration Date: 09/20/2010
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 3476748948
Enrollment ID: I20181031001788

Medical Identifiers

Medical identifiers for Mrs Melissa N Miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649588914	NPI	-	NPPES
10115176	Other	IL	BCBSIL GROUP
363502461001	Other	IL	TRICARE
769380	Other	IL	MEDICARE GROUP PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	085003857 (Illinois)	Secondary
363AM0700X	Physician Assistant - Medical	4250 (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. Mrs Melissa N 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 Melissa N Miller, PA-C 2809 N Park Drive Ln, Appleton, WI 54911-1603 Ph: (920) 380-4999	Mrs Melissa N Miller, PA-C 2809 N Park Drive Ln, Appleton, WI 54911-1603 Ph: (920) 380-4999

Reviews and Comments

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Mrs Melissa N Miller, PA-C - Medicare Physician Assistant in Appleton, WI