Kanisha L Miller, APRN is a medicare enrolled "Nurse Practitioner" provider in Deland, Florida. She graduated from healthcare school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Saafe Behavioral Services Llc and her current practice location is
201 W Plymouth Ave, Deland, Florida. You can reach out to her office (for appointments etc.) via phone at
(407) 732-4272.
Kanisha L Miller is licensed to practice in Florida (license number ARNP11002017) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265099238.
Healthcare Provider's Profile
| Full Name | Kanisha L Miller |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 201 W Plymouth Ave, Deland, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kanisha L Miller graduated from medical school in 2018
NPI Data:
- NPI Number: 1265099238
- Provider Enumeration Date: 05/24/2019
- Last Update Date: 02/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 4183955677
- Enrollment ID: I20191015001254
Medical Identifiers
Medical identifiers for Kanisha L Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265099238 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | ARNP11002017 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Saafe Behavioral Services Llc | 5092943241 | 10 |
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. Kanisha L Miller allows following entities to bill medicare on her behalf.
| Entity Name | Saafe Behavioral Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154757557
PECOS PAC ID: 5092943241
Enrollment ID: O20140114001404 |
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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. Kanisha L 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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Kanisha L Miller, APRN
308 Ridge Rd,
Tallahassee, FL 32305-7006
Ph: (850) 443-3057 | Kanisha L Miller, APRN
201 W Plymouth Ave,
Deland, FL 32720-2753
Ph: (407) 732-4272 |
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