Kaylie Miller, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Chicago, Illinois. She went to University Of Maryland School Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice St Clair Professional Services Inc and her current practice location is
5841 S Maryland Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(773) 702-1220.
Kaylie Miller is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033775028.
Physician's Profile
| Full Name | Kaylie Miller |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 5 Years |
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| Location | 5841 S Maryland Ave, Chicago, Illinois |
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| Accepts Medicare Assignments | Yes. She 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:
- Kaylie Miller attended and graduated from University Of Maryland School Of Medicine in 2019
NPI Data:
- NPI Number: 1033775028
- Provider Enumeration Date: 05/15/2019
- Last Update Date: 07/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698000255
- Enrollment ID: I20220719003055
Medical Identifiers
Medical identifiers for Kaylie Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033775028 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | MD477346 (Pennsylvania) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| St Clair Professional Services Inc | 4284672742 | 27 |
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. Kaylie Miller allows following entities to bill medicare on her behalf.
| Entity Name | St Clair Professional Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427270594
PECOS PAC ID: 4284672742
Enrollment ID: O20050425000590 |
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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. Kaylie 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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Kaylie Miller, MD
5841 S Maryland Ave,
Chicago, IL 60637-1443
Ph: (773) 702-1220 | Kaylie Miller, MD
5841 S Maryland Ave,
Chicago, IL 60637-1443
Ph: (773) 702-1220 |
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