Mrs Dominique Miller, in Elma, WA - Medicare Counselor Provider

Mrs Dominique Miller, is a medicare enrolled "Counselor - Mental Health" provider in Elma, Washington. Her current practice location is Po Box 1387, Elma, Washington. You can reach out to her office (for appointments etc.) via phone at (407) 630-2523.

Mrs Dominique Miller is licensed to practice in Washington (license number CG61155003) 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 1780430090.

Contact Information

	Mrs Dominique Miller,
	Po Box 1387, Elma, WA 98541-1387
	(407) 630-2523
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Dominique Miller
Gender	Female
Speciality	Counselor - Mental Health
Location	Po Box 1387, Elma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780430090
Provider Enumeration Date: 04/26/2024
Last Update Date: 04/26/2024

Medicare PECOS Information:

PECOS PAC ID: 8729520580
Enrollment ID: I20240607001171

Medical Identifiers

Medical identifiers for Mrs Dominique Miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780430090	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	CG61155003 (Washington)	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. Mrs Dominique Miller allows following entities to bill medicare on her behalf.

Entity Name	Multicare Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760

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. Mrs Dominique 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
Mrs Dominique Miller, Po Box 1387, Elma, WA 98541-1387 Ph: (407) 630-2523	Mrs Dominique Miller, Po Box 1387, Elma, WA 98541-1387 Ph: (407) 630-2523

Reviews and Comments

Counselor in Elma, WA

Claude Ouellette, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 600 E Main St, Elma, WA 98541 Phone: 360-346-2222
Jorge Arredondo-renteria, MED&SOC. INTERPRETER Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Evergreen Village Ln, Elma, WA 98541 Phone: 360-957-3682
Lindey Lu Kaelin Ginther, CDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 E. Young St., Elma, WA 98541 Phone: 360-482-2674 Fax: 360-482-2674
Nora Rye, Counselor Medicare: Not Enrolled in Medicare Practice Location: 515 W Main St, Elma, WA 98541 Phone: 306-861-8700
Abreana Christine Howerton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 575 E Main St, Elma, WA 98541 Phone: 360-704-7170
Courtney Alexis Dietrich, Counselor Medicare: Not Enrolled in Medicare Practice Location: 575 E Main St, Elma, WA 98541 Phone: 360-704-7170
Brock Dustin Pohl, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 308 E. Young St., Elma, WA 98541 Phone: 360-482-2674

Mrs Dominique Miller, - Medicare Counselor in Elma, WA