Theodore Miller, FNP - Medicare Nurse Practitioner in New York, NY

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Theodore Miller, FNP is a medicare enrolled "Nurse Practitioner - Family" in New York, New York. His current practice location is 179 Sullivan St, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 677-6788.

Theodore Miller is licensed to practice in New York (license number 345051) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1598316002.

Contact Information

Theodore Miller, FNP
179 Sullivan St,
New York, NY 10012-2545
(212) 677-6788
(205) 273-3534

Map and Direction




Provider's Profile

Full NameTheodore Miller
GenderMale
SpecialityNurse Practitioner - Family
Location179 Sullivan St, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1598316002
  • Provider Enumeration Date: 09/25/2019
  • Last Update Date: 04/29/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3375940059
  • Enrollment ID: I20210922002659

Medical Identifiers

Medical identifiers for Theodore Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598316002NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 26NJ15197700 (New Jersey)Secondary
363LF0000XNurse Practitioner - Family 14156 (Connecticut)Secondary
363LF0000XNurse Practitioner - Family SP031741 (Pennsylvania)Secondary
363LF0000XNurse Practitioner - Family 345051 (New York)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. Theodore Miller allows following entities to bill medicare on his behalf.
Entity NameOphelia Medical Group Fl Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588244750
PECOS PAC ID: 7810398534
Enrollment ID: O20210709002800

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. Theodore 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 AddressPractice Location Address
Theodore Miller, FNP
161 Knob Hill Dr,
Hamden, CT 06518-2448

Ph: (720) 235-7316		Theodore Miller, FNP
179 Sullivan St,
New York, NY 10012-2545

Ph: (212) 677-6788

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.