Dr Leslie R Miller, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Ammon, Idaho. Her current practice location is
2705 E 17th St, Ammon, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 346-7500.
Dr Leslie R Miller is licensed to practice in Idaho (license number M-17907) 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 1164981056.
Physician's Profile
| Full Name | Dr Leslie R Miller |
|---|
| Gender | Female |
|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 2705 E 17th St, Ammon, Idaho |
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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: 1164981056
- Provider Enumeration Date: 03/19/2019
- Last Update Date: 11/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901136191
- Enrollment ID: I20191002000484
Medical Identifiers
Medical identifiers for Dr Leslie R Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164981056 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 330272 (Louisiana) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 330272 (Louisiana) | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 330272 (Louisiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | M-17907 (Idaho) | 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 Leslie R 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 |
|---|
Dr Leslie R Miller, MD
1430 Tulane Ave # 8055,
New Orleans, LA 70112-2632
Ph: (504) 988-7829 | Dr Leslie R Miller, MD
2705 E 17th St,
Ammon, ID 83406-6601
Ph: (208) 346-7500 |
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