Dyrek Evereth Miller, MD is a medicare enrolled "Surgery" physician in Kenansville, North Carolina. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Vidant Medical Group Llc and his current practice location is
211 Duplin Street, Kenansville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 275-0027.
Dyrek Evereth Miller is licensed to practice in North Carolina (license number 200300667) 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 1053405746.
Physician's Profile
Full Name | Dyrek Evereth Miller |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 35 Years |
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Location | 211 Duplin Street, Kenansville, North Carolina |
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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. |
Medical Education and Training:
- Dyrek Evereth Miller graduated from medical school in 1989
NPI Data:
- NPI Number: 1053405746
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 01/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 9234172370
- Enrollment ID: I20050610000781
Medical Identifiers
Medical identifiers for Dyrek Evereth Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053405746 | NPI | - | NPPES |
1334X | Other | NC | BCBS OF NORTH CAROLINA |
891334X | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 200300667 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Vidant Medical Group Llc | 0345343893 | 850 |
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. Dyrek Evereth Miller allows following entities to bill medicare on his behalf.
Entity Name | Vidant Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
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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. Dyrek Evereth 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 |
Dyrek Evereth Miller, MD Po Box 490, Kenansville, NC 28349 Ph: (910) 275-0027 | Dyrek Evereth Miller, MD 211 Duplin Street, Kenansville, NC 28349-2834 Ph: (910) 275-0027 |
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