Mrs Susan Marie Miller, FNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Fort Gibson, Oklahoma. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Comprehensive Rehab Consultants Pllc and 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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194134858.
Provider's Profile
| Full Name | Mrs Susan Marie Miller |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 12 Years |
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| Location | 104 Lone Oak Cir, Fort Gibson, Oklahoma |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Susan Marie Miller graduated from nursing school in 2014
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Comprehensive Rehab Consultants Pllc | 6800220682 | 248 |
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 |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457574170 PECOS PAC ID: 1456255025 Enrollment ID: O20031125000250 |
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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 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 |
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