Dr Nathanial R Miletta, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Watertown, New York. His current practice location is
826 Washington St Ste 100, Watertown, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 395-4918.
Dr Nathanial R Miletta is licensed to practice in New York (license number 298285) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790083657.
Physician's Profile
Full Name | Dr Nathanial R Miletta |
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Gender | Male |
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Speciality | Dermatology - Mohs-micrographic Surgery |
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Location | 826 Washington St Ste 100, Watertown, New York |
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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: 1790083657
- Provider Enumeration Date: 03/02/2011
- Last Update Date: 05/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 0941513279
- Enrollment ID: I20190814001945
Medical Identifiers
Medical identifiers for Dr Nathanial R Miletta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790083657 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 26961 (Nebraska) | Secondary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | 298285 (New York) | 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. Dr Nathanial R Miletta allows following entities to bill medicare on his behalf.
Entity Name | Samaritan Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598713745 PECOS PAC ID: 8123914876 Enrollment ID: O20040227000525 |
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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 Nathanial R Miletta 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 Nathanial R Miletta, MD 826 Washington St Ste 100, Watertown, NY 13601-4071 Ph: (153) 395-4918 | Dr Nathanial R Miletta, MD 826 Washington St Ste 100, Watertown, NY 13601-4071 Ph: (315) 395-4918 |
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