Carolyn Kelley Miller, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Silvis, Illinois. She went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 1995 and has 30 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Genesis Health System, Genesis Health System and her current practice location is
855 Illini Dr Ste 203, Silvis, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 281-4812.
Carolyn Kelley Miller is licensed to practice in Iowa (license number 32875) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235130766.
Physician's Profile
| Full Name | Carolyn Kelley Miller |
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| Gender | Female |
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| Speciality | Pathology |
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| Experience | 30 Years |
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| Location | 855 Illini Dr Ste 203, Silvis, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carolyn Kelley Miller attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1995
NPI Data:
- NPI Number: 1235130766
- Provider Enumeration Date: 08/09/2005
- Last Update Date: 04/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 8729972187
- Enrollment ID: I20040209000622
Medical Identifiers
Medical identifiers for Carolyn Kelley Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235130766 | NPI | - | NPPES |
| 2202424 | Medicaid | IA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 32875 (Iowa) | Primary |
| 207ZC0500X | Pathology - Cytopathology | 32875 (Iowa) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Genesis Health System | 7214841436 | 179 |
| Genesis Health System | 7214841436 | 179 |
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. Carolyn Kelley Miller allows following entities to bill medicare on her behalf.
| Entity Name | Genesis Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477654945
PECOS PAC ID: 7214841436
Enrollment ID: O20031113000044 |
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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. Carolyn Kelley 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 |
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Carolyn Kelley Miller, MD
855 Illini Dr Ste 203,
Silvis, IL 61282-2904
Ph: (309) 281-4812 | Carolyn Kelley Miller, MD
855 Illini Dr Ste 203,
Silvis, IL 61282-2904
Ph: (309) 281-4812 |
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