Charles Miller, LCSW, CAC II, MSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Collins, Colorado. His current practice location is
1024 S Lemay Ave, Fort Collins, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 495-8020.
Charles Miller is licensed to practice in Colorado (license number CSW.00992662) 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 1417919655.
Healthcare Provider's Profile
| Full Name | Charles Miller |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1024 S Lemay Ave, Fort Collins, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417919655
- Provider Enumeration Date: 04/04/2006
- Last Update Date: 12/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 0547421315
- Enrollment ID: I20120423000453
Medical Identifiers
Medical identifiers for Charles Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417919655 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | ACB.0007233 (Colorado) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.00992662 (Colorado) | 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. Charles Miller allows following entities to bill medicare on his behalf.
| Entity Name | Poudre Valley Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366763260
PECOS PAC ID: 9638208549
Enrollment ID: O20100602000122 |
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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. Charles 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 |
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Charles Miller, LCSW, CAC II, MSW
1024 S Lemay Ave,
Fort Collins, CO 80524-3929
Ph: (970) 495-8020 | Charles Miller, LCSW, CAC II, MSW
1024 S Lemay Ave,
Fort Collins, CO 80524
Ph: (970) 495-8020 |
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