Tony Earl Miller, NP in Ellisville, MS - Medicare Nurse Practitioner

Tony Earl Miller, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Ellisville, Mississippi. His current practice location is 5192 Highway 11 N, Ellisville, Mississippi. You can reach out to his office (for appointments etc.) via phone at (604) 649-7921.

Tony Earl Miller is licensed to practice in Mississippi (license number 905543) 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 1275854234.

Contact Information

	Tony Earl Miller, NP
	5192 Highway 11 N, Ellisville, MS 39437-5050
	(604) 649-7921
	(601) 649-7939

Map and Direction

Provider's Profile

Full Name	Tony Earl Miller
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5192 Highway 11 N, Ellisville, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275854234
Provider Enumeration Date: 06/14/2010
Last Update Date: 09/14/2022

Medicare PECOS Information:

PECOS PAC ID: 2365797826
Enrollment ID: I20230306002244

Medical Identifiers

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

Identifier	Type	State	Issuer
1275854234	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	39936 (Montana)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	905543 (Mississippi)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	1-070056 (Alabama)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	100781 (Montana)	Secondary

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. Tony Earl Miller allows following entities to bill medicare on his behalf.

Entity Name	Region 12 Commission On Mental Health & Retardation Pine Belt Men
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982610572 PECOS PAC ID: 3971561747 Enrollment ID: O20041227000393

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. Tony Earl 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
Tony Earl Miller, NP Po Box 18679, Hattiesburg, MS 39404-8679 Ph: (601) 705-1901	Tony Earl Miller, NP 5192 Highway 11 N, Ellisville, MS 39437-5050 Ph: (604) 649-7921

Reviews and Comments

Nurse Practitioner Nurses in Ellisville, MS

Mrs. Stephanie D. Smith, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1101 Hwy 11 S, Ellisville, MS 39437 Phone: 601-477-5770
Jessie Watson, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1203 B Ave, Ellisville, MS 39437 Phone: 601-477-3550
Marlana Perkins Hedgepeth, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 80 Hal Crocker Rd, Ellisville, MS 39437 Phone: 601-477-2221 Fax: 601-477-2223
Jeri S England, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 S Court St, Ellisville, MS 39437 Phone: 601-477-4104 Fax: 601-399-6254
Mr. Donald Scoggin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1203 Ave B, Ellisville, MS 39437 Phone: 601-477-8553 Fax: 601-477-9158
Mrs. Lisa Graham Blesse, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1101 Highway 11 S, Ellisville, MS 39437 Phone: 601-477-5795 Fax: 601-477-5895

Tony Earl Miller, NP - Medicare Nurse Practitioner in Ellisville, MS