Mr Jeffrey Hainlin Miller, DO is a medicare enrolled "Family Medicine" physician in Mohave Valley, Arizona. He went to Philadelphia College Of Osteopathic Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Fort Mojave Indian Tribe and his current practice location is
1607 Plantation Road, Mohave Valley, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 346-4679.
Mr Jeffrey Hainlin Miller is licensed to practice in Arizona (license number 006095) 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 1114010006.
Physician's Profile
| Full Name | Mr Jeffrey Hainlin Miller |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 38 Years |
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| Location | 1607 Plantation Road, Mohave Valley, Arizona |
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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:
- Mr Jeffrey Hainlin Miller attended and graduated from Philadelphia College Of Osteopathic Medicine in 1986
NPI Data:
- NPI Number: 1114010006
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 09/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 6204877715
- Enrollment ID: I20140630000899
Medical Identifiers
Medical identifiers for Mr Jeffrey Hainlin Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114010006 | NPI | - | NPPES |
| 1018490760001 | Medicaid | PA | |
| 1866133 | Other | PA | HIGHMARK |
| 899447 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 006095 (Arizona) | Primary |
| 207Q00000X | Family Medicine | OS006293L (Pennsylvania) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Fort Mojave Indian Tribe | 0547220576 | 5 |
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. Mr Jeffrey Hainlin Miller allows following entities to bill medicare on his behalf.
| Entity Name | Fort Mojave Indian Tribe |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306897962
PECOS PAC ID: 0547220576
Enrollment ID: O20041014000464 |
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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. Mr Jeffrey Hainlin 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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Mr Jeffrey Hainlin Miller, DO
1607 Plantation Road,
Mohave Valley, AZ 86440
Ph: (928) 346-4679 | Mr Jeffrey Hainlin Miller, DO
1607 Plantation Road,
Mohave Valley, AZ 86440
Ph: (928) 346-4679 |
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