Shane Michael Miller, MD in Frisco, TX

Shane Michael Miller, MD is a medicare enrolled "Pediatrics - Sports Medicine" physician in Frisco, Texas. His current practice location is 5700 Dallas Pkwy, Frisco, Texas. You can reach out to his office (for appointments etc.) via phone at (469) 515-7100.

Shane Michael Miller is licensed to practice in Texas (license number N2663) 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 1487829719.

Contact Information

	Shane Michael Miller, MD
	5700 Dallas Pkwy, Frisco, TX 75034-9580
	(469) 515-7100
	(214) 443-7309

Map and Direction

Physician's Profile

Full Name	Shane Michael Miller
Gender	Male
Speciality	Pediatrics - Sports Medicine
Location	5700 Dallas Pkwy, Frisco, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487829719
Provider Enumeration Date: 04/28/2008
Last Update Date: 02/01/2019

Medicare PECOS Information:

PECOS PAC ID: 7810040557
Enrollment ID: I20090729000112

Medical Identifiers

Medical identifiers for Shane Michael Miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487829719	NPI	-	NPPES
209257901	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080S0010X	Pediatrics - Sports Medicine	46860 (Colorado)	Secondary
2080S0010X	Pediatrics - Sports Medicine	N2663 (Texas)	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. Shane Michael Miller allows following entities to bill medicare on his behalf.

Entity Name	Texas Scottish Rite Hospital For Crippled Children
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598188948 PECOS PAC ID: 0446422844 Enrollment ID: O20140505001295

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. Shane Michael 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
Shane Michael Miller, MD 2222 Welborn St, Dallas, TX 75219-3924 Ph: (214) 559-5000	Shane Michael Miller, MD 5700 Dallas Pkwy, Frisco, TX 75034-9580 Ph: (469) 515-7100

Reviews and Comments

Pediatrics Doctors in Frisco, TX

Iresh Kumar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7589 Preston Rd, Ste 600, Frisco, TX 75034 Phone: 214-705-9696 Fax: 214-705-9697
Dr. Thai V Hoang, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2840 Legacy Dr Ste 210, Frisco, TX 75034 Phone: 972-668-7110
William Anthony Paruolo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 225 W Lebanon Rd, Suite 104, Frisco, TX 75036 Phone: 972-370-2425 Fax: 972-370-2591
Deborah Zebold Bain, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5680 Frisco Square Blvd Ste 2300, Frisco, TX 75034 Phone: 972-294-0808
Brittney Kaye Waisner, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3535 Victory Group Way Ste 305, Frisco, TX 75034 Phone: 972-324-3480 Fax: 877-637-1611
Sara Lynn Gondol, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1518 Legacy Dr Ste 110, Frisco, TX 75034 Phone: 214-494-4212 Fax: 214-494-4214
Dr. Isha Mannering, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4461 Coit Rd Ste 405, Frisco, TX 75035 Phone: 972-526-0700

Shane Michael Miller, MD - Medicare Pediatrics in Frisco, TX