Kaiden Dean Miller, OTR/L in Johnson City, TN - Medicare Occupational Therapist Provider

Kaiden Dean Miller, OTR/L is a medicare enrolled "Occupational Therapist" provider in Johnson City, Tennessee. His current practice location is 2041 Hamilton Pl, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 804-1020.

Kaiden Dean Miller is licensed to practice in Tennessee (license number 7893) 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 1184159667.

Contact Information

	Kaiden Dean Miller, OTR/L
	2041 Hamilton Pl, Johnson City, TN 37604-7920
	(423) 804-1020
	(423) 317-7773

Map and Direction

Healthcare Provider's Profile

Full Name	Kaiden Dean Miller
Gender	Male
Speciality	Occupational Therapist
Location	2041 Hamilton Pl, Johnson City, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184159667
Provider Enumeration Date: 04/21/2017
Last Update Date: 09/10/2025

Medicare PECOS Information:

PECOS PAC ID: 3476997990
Enrollment ID: I20240222003457

Medical Identifiers

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

Identifier	Type	State	Issuer
1184159667	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	7893 (Tennessee)	Primary
2255A2300X	Specialist/technologist - Athletic Trainer	(* (Not Available))	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. Kaiden Dean Miller allows following entities to bill medicare on his behalf.

Provider Name	Jordan C Black
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1528569316 PECOS PAC ID: 5890117469 Enrollment ID: O20200629000595

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. Kaiden Dean 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
Kaiden Dean Miller, OTR/L 325 W Morris Blvd Ste B, Morristown, TN 37813-2237 Ph: (423) 317-7772	Kaiden Dean Miller, OTR/L 2041 Hamilton Pl, Johnson City, TN 37604-7920 Ph: (423) 804-1020

Reviews and Comments

Occupational Therapist in Johnson City, TN

Misty Seehorn, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3209 Bristol Hwy, Johnson City, TN 37601 Phone: 423-282-3311
Rafael Antonio Leon, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1507 Woodland Ave, Johnson City, TN 37601 Phone: 423-440-5782
Jodi Nichols, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 525 W Oakland Ave Ste 205, Johnson City, TN 37604 Phone: 423-282-1700
Ms. Cara Estep, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2511 Wesley St, Johnson City, TN 37601 Phone: 423-975-1700
Mrs. Rosellen Becker Ryals, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 401 E Main St Suite 5, Johnson City, TN 37601 Phone: 423-722-2062 Fax: 423-722-2063
Mrs. Barbara Kluceski Pincinse, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3209 Bristol Hwy, Johnson City, TN 37601 Phone: 423-282-3311
Cameron H Atkison, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 809 Lamont St, Johnson City, TN 37604 Phone: 423-926-1171

Kaiden Dean Miller, OTR/L - Medicare Occupational Therapist in Johnson City, TN