Mrs Susan Marie Miller, FNP-C in Fort Gibson, OK

Mrs Susan Marie Miller, FNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Fort Gibson, Oklahoma. Her current practice location is 104 Lone Oak Cir, Fort Gibson, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 478-2101.

Mrs Susan Marie Miller is licensed to practice in Oklahoma (license number 115364) 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 1194134858.

Contact Information

	Mrs Susan Marie Miller, FNP-C
	104 Lone Oak Cir, Fort Gibson, OK 74434-5001
	(918) 478-2101
	(918) 478-6008

Map and Direction

Provider's Profile

Full Name	Mrs Susan Marie Miller
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	104 Lone Oak Cir, Fort Gibson, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194134858
Provider Enumeration Date: 08/07/2014
Last Update Date: 02/27/2025

Medicare PECOS Information:

PECOS PAC ID: 8921324245
Enrollment ID: I20150304001762

Medical Identifiers

Medical identifiers for Mrs Susan Marie Miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194134858	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	115364 (Oklahoma)	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 Susan Marie Miller allows following entities to bill medicare on her behalf.

Entity Name	Northeastern Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457574170 PECOS PAC ID: 1456255025 Enrollment ID: O20031125000250

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 Susan Marie 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 Susan Marie Miller, FNP-C 104 Lone Oak Cir, Fort Gibson, OK 74434-5001 Ph: (918) 478-2101	Mrs Susan Marie Miller, FNP-C 104 Lone Oak Cir, Fort Gibson, OK 74434-5001 Ph: (918) 478-2101

Reviews and Comments

Nurse Practitioner Nurses in Fort Gibson, OK

Tracy Lynn Berry-igert, MSN APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 Lone Oak Cir, Fort Gibson, OK 74434 Phone: 918-478-6005 Fax: 918-478-6020
Bradley Roscoe Littleton, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 108 Lone Oak Cir, Fort Gibson, OK 74434 Phone: 918-478-6005 Fax: 918-478-6020

Mrs Susan Marie Miller, FNP-C - Medicare Nurse Practitioner in Fort Gibson, OK