Cassidy Annalee Miller, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Conroe, Texas. Her current practice location is
605 S Conroe Medical Dr, Conroe, Texas. You can reach out to her office (for appointments etc.) via phone at
(936) 539-4004.
Cassidy Annalee Miller is licensed to practice in * (Not Available) (license number ) 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 1720781164.
Physician's Profile
Full Name | Cassidy Annalee Miller |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 605 S Conroe Medical Dr, Conroe, Texas |
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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: 1720781164
- Provider Enumeration Date: 03/24/2023
- Last Update Date: 10/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 1951766609
- Enrollment ID: I20230502001238
Medical Identifiers
Medical identifiers for Cassidy Annalee Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720781164 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | V4437 (Texas) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Cassidy Annalee 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 |
Cassidy Annalee Miller, DO 605 S Conroe Medical Dr, Conroe, TX 77304-4722 Ph: (936) 539-4004 | Cassidy Annalee Miller, DO 605 S Conroe Medical Dr, Conroe, TX 77304-4722 Ph: (936) 539-4004 |
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