John W Miller, DMD is a medicare enrolled "Dentist" provider in Edmonton, Kentucky. His current practice location is
108 Elmore Street, Edmonton, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 432-7211.
John W Miller is licensed to practice in Kentucky (license number 8177) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629148481.
Healthcare Provider's Profile
Full Name | John W Miller |
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Gender | Male |
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Speciality | Dentist |
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Location | 108 Elmore Street, Edmonton, Kentucky |
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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: 1629148481
- Provider Enumeration Date: 11/09/2006
- Last Update Date: 06/19/2008
Medicare PECOS Information:
- PECOS PAC ID: 5395045934
- Enrollment ID: I20151203001439
Medical Identifiers
Medical identifiers for John W Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629148481 | NPI | - | NPPES |
45003621 | Medicaid | KY | |
60003035 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 8177 (Kentucky) | Primary |
1223G0001X | Dentist - General Practice | 8177 (Kentucky) | Secondary |
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. John W 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 |
John W Miller, DMD Po Box 269, Edmonton, KY 42129 Ph: (270) 432-7211 | John W Miller, DMD 108 Elmore Street, Edmonton, KY 42129 Ph: (270) 432-7211 |
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