Raven Miller, in Petal, MS - Medicare Nurse Practitioner

Raven Miller, is a medicare enrolled "Nurse Practitioner - Family" in Petal, Mississippi. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice David B Roy Do Pa and her current practice location is 201 S Main St, Petal, Mississippi. You can reach out to her office (for appointments etc.) via phone at (602) 336-5626.

Raven Miller is licensed to practice in Mississippi (license number 903280) 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 1578190443.

Contact Information

	Raven Miller,
	201 S Main St, Petal, MS 39465-2362
	(602) 336-5626
	Not Available

Map and Direction

Provider's Profile

Full Name	Raven Miller
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	201 S Main St, Petal, Mississippi
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:

Raven Miller graduated from nursing school in 2018

NPI Data:

NPI Number: 1578190443
Provider Enumeration Date: 03/23/2020
Last Update Date: 03/23/2020

Medicare PECOS Information:

PECOS PAC ID: 6507280450
Enrollment ID: I20200724000057

Medical Identifiers

Medical identifiers for Raven Miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578190443	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	903280 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
David B Roy Do Pa	2365767118	11

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. Raven Miller allows following entities to bill medicare on her behalf.

Entity Name	David B Roy Do Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194124834 PECOS PAC ID: 2365767118 Enrollment ID: O20150219000500

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. Raven 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
Raven Miller, 23 Forrest Rdg, Petal, MS 39465-5937 Ph: (228) 218-9559	Raven Miller, 201 S Main St, Petal, MS 39465-2362 Ph: (602) 336-5626

Reviews and Comments

Nurse Practitioner Nurses in Petal, MS

Mrs. Hang My-thi Nguyen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Eastbrook Dr Ste 30, Petal, MS 39465 Phone: 601-336-5393
Mallory Stockstill, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309 Fax: 601-584-4890
David Lee Snodgrass, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309 Fax: 601-584-4890
Crystal Nichole Wallace, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 Parkway Ln Ste B, Petal, MS 39465 Phone: 601-705-2897
Dayna Hamm Pridgen, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 Parkway Ln Ste B, Petal, MS 39465 Phone: 601-705-2897 Fax: 601-579-5240
Hope V Pittman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1146 Evelyn Gandy Pkwy, Petal, MS 39465 Phone: 601-584-4309

Raven Miller, - Medicare Nurse Practitioner in Petal, MS