Kimberly J Miller, PSYD in Venice, FL - Medicare Psychologist Provider

Kimberly J Miller, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Venice, Florida. Her current practice location is 1505 Tamiami Trl S Ste 401a, Venice, Florida. You can reach out to her office (for appointments etc.) via phone at (941) 504-6980.

Kimberly J Miller is licensed to practice in Florida (license number PY11876) 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 1285325852.

Contact Information

	Kimberly J Miller, PSYD
	1505 Tamiami Trl S Ste 401a, Venice, FL 34285-5562
	(941) 504-6980
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly J Miller
Gender	Female
Speciality	Psychologist - Clinical
Location	1505 Tamiami Trl S Ste 401a, Venice, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285325852
Provider Enumeration Date: 05/16/2023
Last Update Date: 05/16/2023

Medicare PECOS Information:

PECOS PAC ID: 9830558337
Enrollment ID: I20230630001474

Medical Identifiers

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

Identifier	Type	State	Issuer
1285325852	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY11876 (Florida)	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. Kimberly J Miller allows following entities to bill medicare on her behalf.

Entity Name	Kimberly J Miller Psyd Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447941026 PECOS PAC ID: 6305205899 Enrollment ID: O20230630001353

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. Kimberly J 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
Kimberly J Miller, PSYD 1328 Loma Linda Ct, Sarasota, FL 34239-2426 Ph: (941) 504-6980	Kimberly J Miller, PSYD 1505 Tamiami Trl S Ste 401a, Venice, FL 34285-5562 Ph: (941) 504-6980

Reviews and Comments

Psychologist in Venice, FL

Joan A Vail, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 153 Center Rd, Venice, FL 34285 Phone: 941-497-5522 Fax: 941-497-5556
Dr. Angela Steranko, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1505 Tamiami Trl S Ste 402, Venice, FL 34285 Phone: 941-275-9183
Geoffrey Tremont, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 871 Venetia Bay Blvd Ste 310, Venice, FL 34285 Phone: 941-346-6465 Fax: 716-242-3360
Dr. Veronica Patricia Medina, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1101 Tamiami Trl S Ste 215a-1, Venice, FL 34285 Phone: 941-842-3837
Charles Robert Davenport, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1525 Tamiami Trl S, Suite 603 A, Venice, FL 34285 Phone: 941-321-1971 Fax: 941-866-0936
Dale Simpson, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1370 E Venice Ave, Ste 209, Venice, FL 34285 Phone: 941-363-0878
Dr. Roger Davis, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 871 Venetia Bay Blvd, Venice, FL 34285 Phone: 941-485-8586

Kimberly J Miller, PSYD - Medicare Psychologist in Venice, FL