Kimberly Evonne Miller-hammond, MD - Medicare General Surgery in Mount Vernon, IL

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Kimberly Evonne Miller-hammond, MD is a medicare enrolled "Surgery" physician in Mount Vernon, Illinois. She went to Morehouse School Of Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Morehouse Healthcare, Inc. and her current practice location is 1 Good Samaritan Way, Mount Vernon, Illinois. You can reach out to her office (for appointments etc.) via phone at (770) 617-5556.

Kimberly Evonne Miller-hammond is licensed to practice in Illinois (license number 036159613) 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 1164665428.

Contact Information

Kimberly Evonne Miller-hammond, MD
1 Good Samaritan Way,
Mount Vernon, IL 62864-2402
(770) 617-5556
Not Available

Map and Direction




Physician's Profile

Full NameKimberly Evonne Miller-hammond
GenderFemale
SpecialityGeneral Surgery
Experience15 Years
Location1 Good Samaritan Way, Mount Vernon, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly Evonne Miller-hammond attended and graduated from Morehouse School Of Medicine in 2009
  NPI Data:
  • NPI Number: 1164665428
  • Provider Enumeration Date: 04/15/2009
  • Last Update Date: 06/15/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7517289846
  • Enrollment ID: I20190117003507

Medical Identifiers

Medical identifiers for Kimberly Evonne Miller-hammond such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164665428NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery TL37495 (South Carolina)Secondary
208600000XSurgery 036159613 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Grady Memorial HospitalAtlanta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Morehouse Healthcare, Inc.6002701273101

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. Kimberly Evonne Miller-hammond allows following entities to bill medicare on her behalf.
Entity NameMorehouse Healthcare, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801832324
PECOS PAC ID: 6002701273
Enrollment ID: O20040217000570
Entity NameAtlanta Surgery Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467841445
PECOS PAC ID: 1850619131
Enrollment ID: O20150416001838
Entity NamePiedmont Specialty Hospital Billing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699290510
PECOS PAC ID: 4183986490
Enrollment ID: O20180327001180

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. Kimberly Evonne Miller-hammond 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 AddressPractice Location Address
Kimberly Evonne Miller-hammond, MD
1 Good Samaritan Way,
Mount Vernon, IL 62864-2402

Ph: (770) 617-5556		Kimberly Evonne Miller-hammond, MD
1 Good Samaritan Way,
Mount Vernon, IL 62864-2402

Ph: (770) 617-5556

Reviews and Comments


Surgery Doctors in Mount Vernon, IL

Naresh Kumar Ahuja, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4230 Lincolnshire Dr Ste A, Mount Vernon, IL 62864
Phone: 618-315-6466    Fax: 618-315-6469
Kevin B Claffey, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864
Phone: 618-242-8480    Fax: 618-242-8499
Mr. Steven J Clark, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2 Good Samaritan Way, Suite 235, Mount Vernon, IL 62864
Phone: 618-899-3980    Fax: 618-899-4793
Andrew Robert Johnson, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864
Phone: 618-242-8480    Fax: 618-242-8499
Alan Scott Harad, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864
Phone: 618-242-8480    Fax: 618-242-8499
Charles W Longwell Jr., M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864
Phone: 618-242-8480    Fax: 618-242-8499

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.