Ms Kennady Marie Miller, DPT is a medicare enrolled "Physical Therapist" provider in Millersburg, Ohio. Her current practice location is
1207 S Washington St, Millersburg, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 600-0844.
Ms Kennady Marie Miller is licensed to practice in Ohio (license number PT019747) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053057414.
Healthcare Provider's Profile
Full Name | Ms Kennady Marie Miller |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 1207 S Washington St, Millersburg, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053057414
- Provider Enumeration Date: 05/09/2022
- Last Update Date: 05/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 1052776168
- Enrollment ID: I20230425001028
Medical Identifiers
Medical identifiers for Ms Kennady Marie Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053057414 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT019747 (Ohio) | 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. Ms Kennady Marie Miller allows following entities to bill medicare on her behalf.
Provider Name | Promotion Therapy Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1518218874 PECOS PAC ID: 3678728748 Enrollment ID: O20130222000126 |
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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. Ms Kennady 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 |
Ms Kennady Marie Miller, DPT 1207 S Washington St, Millersburg, OH 44654-9497 Ph: (330) 600-0844 | Ms Kennady Marie Miller, DPT 1207 S Washington St, Millersburg, OH 44654-9497 Ph: (330) 600-0844 |
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