Nicole Miller, DO is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Newark, Ohio. She went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2007 and has 18 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Licking Memorial Professional Corporation and her current practice location is
1320 W Main St, Newark, Ohio. You can reach out to her office (for appointments etc.) via phone at
(220) 564-4218.
Nicole Miller is licensed to practice in New Jersey (license number 25MB09321500) 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 1720303662.
Physician's Profile
Full Name | Nicole Miller |
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Gender | Female |
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Speciality | Pathology |
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Experience | 18 Years |
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Location | 1320 W Main St, Newark, Ohio |
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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. |
Medical Education and Training:
- Nicole Miller attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2007
NPI Data:
- NPI Number: 1720303662
- Provider Enumeration Date: 04/04/2010
- Last Update Date: 12/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 8820220650
- Enrollment ID: I20210415002827
Medical Identifiers
Medical identifiers for Nicole Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720303662 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0105X | Pathology - Clinical Pathology/laboratory Medicine | 03343 (Kentucky) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 25MB09321500 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Licking Memorial Professional Corporation | 6204740731 | 202 |
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. Nicole Miller allows following entities to bill medicare on her behalf.
Entity Name | Licking Memorial Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326072265 PECOS PAC ID: 6204740731 Enrollment ID: O20031203000131 |
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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. Nicole 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 |
Nicole Miller, DO 1320 W Main St, Newark, OH 43055-1822 Ph: (220) 564-4218 | Nicole Miller, DO 1320 W Main St, Newark, OH 43055-1822 Ph: (220) 564-4218 |
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