Heather Marie Crockett-miller, DDS - Medicare Dentist in Columbus, OH

Heather Marie Crockett-miller, DDS is a medicare enrolled "Dentist - General Practice" provider in Columbus, Ohio. Her current practice location is 1160 W Broad St, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 274-1455.

Heather Marie Crockett-miller is licensed to practice in Ohio (license number 30.023011) 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 1124287123.

Contact Information

Heather Marie Crockett-miller, DDS
1160 W Broad St,
Columbus, OH 43222-1352
(614) 274-1455
(614) 274-1433

Map and Direction




Healthcare Provider's Profile

Full NameHeather Marie Crockett-miller
GenderFemale
SpecialityDentist - General Practice
Location1160 W Broad St, Columbus, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124287123
  • Provider Enumeration Date: 06/04/2008
  • Last Update Date: 11/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0446525281
  • Enrollment ID: I20171004003543

Medical Identifiers

Medical identifiers for Heather Marie Crockett-miller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124287123NPI-NPPES
0189670MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 010471 (Connecticut)Secondary
1223G0001XDentist - General Practice 30.023011 (Ohio)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. Heather Marie Crockett-miller allows following entities to bill medicare on her behalf.
Entity NameLower Lights Christian Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033455209
PECOS PAC ID: 5193794188
Enrollment ID: O20140702000762

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. Heather Marie Crockett-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 AddressPractice Location Address
Heather Marie Crockett-miller, DDS
575 Main St Fl 2, Attn: Credentialing Dept,
Middletown, CT 06457-2845

Ph: (860) 347-6971
Heather Marie Crockett-miller, DDS
1160 W Broad St,
Columbus, OH 43222-1352

Ph: (614) 274-1455

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.