Mr Clifford Miller, MS,APRN,BC-FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Bay Shore, New York. His current practice location is
280 Montauk Hwy, Bay Shore, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 758-4444.
Mr Clifford Miller is licensed to practice in New York (license number F332529) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851367569.
Physician's Profile
Full Name | Mr Clifford Miller |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 280 Montauk Hwy, Bay Shore, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1851367569
- Provider Enumeration Date: 02/23/2006
- Last Update Date: 05/23/2018
Medicare PECOS Information:
- PECOS PAC ID: 5799776951
- Enrollment ID: I20040518001396
Medical Identifiers
Medical identifiers for Mr Clifford Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851367569 | NPI | - | NPPES |
02439196 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084N0400X | Psychiatry & Neurology - Neurology | F332529 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | F332529 (New York) | 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. Mr Clifford Miller allows following entities to bill medicare on his behalf.
Entity Name | South Shore Neurologic Associates, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083782460 PECOS PAC ID: 5092602110 Enrollment ID: O20040303000492 |
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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 Clifford 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 |
Mr Clifford Miller, MS,APRN,BC-FNP 712 Main St, Islip, NY 11751-3620 Ph: (631) 666-3951 | Mr Clifford Miller, MS,APRN,BC-FNP 280 Montauk Hwy, Bay Shore, NY 11706-8403 Ph: (631) 758-4444 |
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