Brandon M Miller, NP is a medicare enrolled "Nurse Practitioner - Gerontology" provider in Bloomington, Indiana. His current practice location is
2651 E Discovery Pkwy, Bloomington, Indiana. You can reach out to his office (for appointments etc.) via phone at
(317) 250-3061.
Brandon M Miller is licensed to practice in Indiana (license number 71014556A) 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 1952685679.
Healthcare Provider's Profile
Full Name | Brandon M Miller |
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Gender | Male |
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Speciality | Nurse Practitioner - Gerontology |
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Location | 2651 E Discovery Pkwy, Bloomington, Indiana |
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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: 1952685679
- Provider Enumeration Date: 09/29/2011
- Last Update Date: 12/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 8527417427
- Enrollment ID: I20231216000226
Medical Identifiers
Medical identifiers for Brandon M Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952685679 | NPI | - | NPPES |
300083362 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | 71014556A (Indiana) | 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. Brandon M Miller allows following entities to bill medicare on his behalf.
Entity Name | Indiana University Health Southern Indiana Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
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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. Brandon M 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 |
Brandon M Miller, NP 707 S Grant St, Bloomington, IN 47401-4732 Ph: (317) 250-3061 | Brandon M Miller, NP 2651 E Discovery Pkwy, Bloomington, IN 47408-9059 Ph: (317) 250-3061 |
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