Marissa Elizabeth Miller, PA in Stanford, CA - Medicare Physician Assistant Provider

Marissa Elizabeth Miller, PA - Medicare Counselor in Stanford, CA

Marissa Elizabeth Miller, PA is a medicare enrolled "Physician Assistant" provider in Stanford, California. Her current practice location is 300 Pasteur Dr, Stanford, California. You can reach out to her office (for appointments etc.) via phone at (650) 723-4000.

Marissa Elizabeth Miller is licensed to practice in California (license number 57837) 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 1073981452.

Contact Information

	Marissa Elizabeth Miller, PA
	300 Pasteur Dr, Stanford, CA 94305-2200
	(650) 723-4000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Marissa Elizabeth Miller
Gender	Female
Speciality	Physician Assistant
Location	300 Pasteur Dr, Stanford, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073981452
Provider Enumeration Date: 09/02/2015
Last Update Date: 06/13/2022

Medicare PECOS Information:

PECOS PAC ID: 2264861723
Enrollment ID: I20200403001170

Medical Identifiers

Medical identifiers for Marissa Elizabeth Miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073981452	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
363A00000X	Physician Assistant	57837 (California)	Primary

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. Marissa Elizabeth 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
Marissa Elizabeth Miller, PA 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000	Marissa Elizabeth Miller, PA 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000