Kenneth Gordon Miller, DDS in Clarks Summit, PA

Kenneth Gordon Miller, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Clarks Summit, Pennsylvania. His current practice location is 233 Northern Blvd, Ste 5, Clarks Summit, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (570) 586-5300.

Kenneth Gordon Miller is licensed to practice in Pennsylvania (license number 021625L) 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 1255419305.

Contact Information

	Kenneth Gordon Miller, DDS
	233 Northern Blvd, Ste 5, Clarks Summit, PA 18411-8720
	(570) 586-5300
	(570) 586-4720

Map and Direction

Healthcare Provider's Profile

Full Name	Kenneth Gordon Miller
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	233 Northern Blvd, Clarks Summit, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255419305
Provider Enumeration Date: 11/02/2006
Last Update Date: 02/28/2017

Medicare PECOS Information:

PECOS PAC ID: 0648233510
Enrollment ID: I20170322000688

Medical Identifiers

Medical identifiers for Kenneth Gordon Miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255419305	NPI	-	NPPES
00905525	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	021625L (Pennsylvania)	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. Kenneth Gordon Miller allows following entities to bill medicare on his behalf.

Entity Name	Metropolitan Medical Practice Plan Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306138383 PECOS PAC ID: 8022286384 Enrollment ID: O20110713000171

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. Kenneth Gordon 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
Kenneth Gordon Miller, DDS 233 Northern Blvd, Ste 5, Clarks Summit, PA 18411-8720 Ph: (570) 954-8211	Kenneth Gordon Miller, DDS 233 Northern Blvd, Ste 5, Clarks Summit, PA 18411-8720 Ph: (570) 586-5300

Reviews and Comments

Dentist in Clarks Summit, PA

Dr. Megan Z Azar, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 301 W Grove St Ste 2e, Clarks Summit, PA 18411 Phone: 570-585-7111
Dr. Caitlin Libby, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 103 W Grove St, Clarks Summit, PA 18411 Phone: 570-587-4787
Kevin Langan, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 260 N State St, Clarks Summit, PA 18411 Phone: 570-587-4227
Dr. Richard Shepherd Jones, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 239 Northern Blvd, Suite 7, Clarks Summit, PA 18411 Phone: 570-586-8900 Fax: 570-586-8912
Christopher Gushue, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2804 Ledge Dr, Clarks Summit, PA 18411 Phone: 570-815-5574
Dr. Michael A Patrician, DMD Dentist Medicare: Medicare Enrolled Practice Location: 109 Main Ave, Clarks Summit, PA 18411 Phone: 570-586-8986

Kenneth Gordon Miller, DDS - Medicare Dentist in Clarks Summit, PA