Maribel Miller, MD is a medicare enrolled "Pediatrics" physician in Clarkesville, Georgia. Her current practice location is 
437 E Louise St, Clarkesville, Georgia. You can reach out to her office (for appointments etc.) via phone at 
(706) 754-5437.
Maribel Miller is licensed to practice in Georgia (license number 047731) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285711473.
			
			
			
			
			
		 
		
		 
Physician's Profile
		
			
			
			| Full Name | Maribel Miller | 
|---|
| Gender | Female | 
|---|
| Speciality | Pediatrics | 
|---|
| Location | 437 E Louise St, Clarkesville, Georgia | 
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1285711473
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 10/27/2020
  Medicare PECOS Information:
- PECOS PAC ID: 0547564759
- Enrollment ID: I20160209001821
 
		 
		 
Medical Identifiers
		Medical identifiers for Maribel Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1285711473 | NPI | - | NPPES | 
| 000906408G | Medicaid | GA |  | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 208000000X | Pediatrics | 047731 (Georgia) | 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. Maribel Miller allows following entities to bill medicare on her behalf.
| Entity Name | Toccoa Clinic Medical Associates, Llp | 
|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
|---|
| Entity Identifiers | NPI Number: 1609896885 PECOS PAC ID: 5597652164
 Enrollment ID: O20040301000262
 | 
|---|
| Entity Name | Northeast Georgia Physicians Group Inc | 
|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
|---|
| Entity Identifiers | NPI Number: 1891745212 PECOS PAC ID: 6901898386
 Enrollment ID: O20040402001277
 | 
|---|
		 
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. Maribel 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 | 
|---|
		| Maribel Miller, MD Po Box 742616,
 Atlanta, GA 30374-2616
 Ph: (770) 219-8420
 | Maribel Miller, MD 437 E Louise St,
 Clarkesville, GA 30523-6106
 Ph: (706) 754-5437
 | 
		
		 
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