Mrs Revon Miller, LMHC, LPC is a medicare enrolled "Counselor - Mental Health" provider in Climax, Georgia. Her current practice location is
281 Harrell Mill Rd, Climax, Georgia. You can reach out to her office (for appointments etc.) via phone at
(229) 220-5306.
Mrs Revon Miller is licensed to practice in Florida (license number MH18863) 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 1467079921.
Healthcare Provider's Profile
Full Name | Mrs Revon Miller |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 281 Harrell Mill Rd, Climax, Georgia |
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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: 1467079921
- Provider Enumeration Date: 07/01/2020
- Last Update Date: 05/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 8224470158
- Enrollment ID: I20240523002537
Medical Identifiers
Medical identifiers for Mrs Revon Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467079921 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LPC012981 (Georgia) | Secondary |
101YM0800X | Counselor - Mental Health | MH18863 (Florida) | 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 Revon Miller allows following entities to bill medicare on her behalf.
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
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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. Mrs Revon 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 Revon Miller, LMHC, LPC 281 Harrell Mill Rd, Climax, GA 39834-2778 Ph: (229) 220-5306 | Mrs Revon Miller, LMHC, LPC 281 Harrell Mill Rd, Climax, GA 39834-2778 Ph: (229) 220-5306 |
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