Dr Jonathan Allen Miller, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Ooltewah, Tennessee. He went to East Tennessee State University Quillen College Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). He is a member of the group practice Uderm, Pllc and his current practice location is
5243 Little Debbie Pkwy Ste 111, Ooltewah, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 206-2777.
Dr Jonathan Allen Miller is licensed to practice in Tennessee (license number 61190) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346637048.
Physician's Profile
| Full Name | Dr Jonathan Allen Miller |
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| Gender | Male |
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| Speciality | Micrographic Dermatologic Surgery (mds) |
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| Experience | 9 Years |
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| Location | 5243 Little Debbie Pkwy Ste 111, Ooltewah, Tennessee |
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| Accepts Medicare Assignments | Yes. He 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:
- Dr Jonathan Allen Miller attended and graduated from East Tennessee State University Quillen College Of Medicine in 2015
NPI Data:
- NPI Number: 1346637048
- Provider Enumeration Date: 04/20/2015
- Last Update Date: 10/07/2020
Medicare PECOS Information:
- PECOS PAC ID: 3577856988
- Enrollment ID: I20201029000709
Medical Identifiers
Medical identifiers for Dr Jonathan Allen Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346637048 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 60832 (Minnesota) | Secondary |
| 207N00000X | Dermatology | 38079 (Alabama) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 61190 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Uderm, Pllc | 8325458532 | 9 |
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. Dr Jonathan Allen Miller allows following entities to bill medicare on his behalf.
| Entity Name | Uderm, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255938502
PECOS PAC ID: 8325458532
Enrollment ID: O20201029000471 |
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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. Dr Jonathan Allen 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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Dr Jonathan Allen Miller, MD
5243 Little Debbie Pkwy Ste 111,
Ooltewah, TN 37363-4515
Ph: (423) 206-2777 | Dr Jonathan Allen Miller, MD
5243 Little Debbie Pkwy Ste 111,
Ooltewah, TN 37363-4515
Ph: (423) 206-2777 |
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