Dr Jacob Nathaniel Miller, DO is a
Student In An Organized Health Care Education/training Program physician based in Chicago, Illinois. Dr Jacob Nathaniel Miller is licensed to practice in Illinois (license number 036.163453) and his current practice location is 225 E Chicago Ave, Chicago, Illinois. He can be reached at his office (for appointments etc.) via phone at
(312) 227-4000.
NPI number for Dr Jacob Nathaniel Miller is 1154881282 and his current mailing address is 420 E Superior St Ste 9-900, Chicago, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154881282.
Physician's Profile
| Full Name | Dr Jacob Nathaniel Miller |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 225 E Chicago Ave, Chicago, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154881282
- Provider Enumeration Date: 03/24/2019
- Last Update Date: 01/27/2025
Medical Identifiers
Medical identifiers for Dr Jacob Nathaniel Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154881282 | NPI | - | NPPES |
| WETBJ | Other | FL | BLUE CROSS BLUE SHIELD |
| 114729400 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 036.163453 (Illinois) | Secondary |
| 2080P0205X | Pediatrics - Pediatric Endocrinology | 036.163453 (Illinois) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 036.163453 (Illinois) | 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. Dr Jacob Nathaniel Miller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jacob Nathaniel Miller, DO
420 E Superior St Ste 9-900,
Chicago, IL 60611-4494
Ph: (312) 503-7975 | Dr Jacob Nathaniel Miller, DO
225 E Chicago Ave,
Chicago, IL 60611-2991
Ph: (312) 227-4000 |
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