Chandra Marea Miller, MD is a medicare enrolled "Pediatrics" physician in Oakwood, Georgia. Her current practice location is
4019 Executive Drive, Oakwood, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 533-6500.
Chandra Marea Miller is licensed to practice in Georgia (license number 054012) 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 1124098140.
Physician's Profile
| Full Name | Chandra Marea Miller |
|---|
| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 4019 Executive Drive, Oakwood, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1124098140
- Provider Enumeration Date: 01/23/2006
- Last Update Date: 08/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 2466424858
- Enrollment ID: I20040806000799
Medical Identifiers
Medical identifiers for Chandra Marea Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124098140 | NPI | - | NPPES |
| 52887375 | Other | GA | BCBS |
| 716964757E | Medicaid | GA | |
| 302584 | Other | GA | WELLCARE |
| 716964757D | Medicaid | GA | |
| 2380879 | Other | GA | CIGNA |
| 302585 | Other | GA | WELLCARE |
| 531457 | Other | GA | WELLCARE |
| 7747589 | Other | GA | AETNA |
| 1201908 | Other | GA | UNITED HEALTHCARE |
| 302583 | Other | GA | WELLCARE |
| 716964757A | Medicaid | GA | |
| 716964757B | Medicaid | GA | |
| 10033004 | Other | GA | AMERIGROUP |
| 302582 | Other | GA | WELLCARE |
| 716964757C | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 054012 (Georgia) | 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. Chandra Marea Miller allows following entities to bill medicare on her behalf.
| Entity Name | The Longstreet Clinic, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326019977
PECOS PAC ID: 2668465733
Enrollment ID: O20040405001521 |
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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. Chandra Marea 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 |
|---|
Chandra Marea Miller, MD
Po Box 658,
Gainesville, GA 30503-0658
Ph: (770) 718-1122 | Chandra Marea Miller, MD
4019 Executive Drive,
Oakwood, GA 30566-3433
Ph: (770) 533-6500 |
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