Theodore D Miller, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Ripon, Wisconsin. He went to University Of Nebraska College Of Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Agnesian Healthcare Inc and his current practice location is
835 Parkside St, Ripon, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 745-3530.
Theodore D Miller is licensed to practice in Wisconsin (license number 30240) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689656829.
Physician's Profile
| Full Name | Theodore D Miller |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 39 Years |
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| Location | 835 Parkside St, Ripon, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Theodore D Miller attended and graduated from University Of Nebraska College Of Medicine in 1985
NPI Data:
- NPI Number: 1689656829
- Provider Enumeration Date: 11/15/2005
- Last Update Date: 11/18/2020
Medicare PECOS Information:
- PECOS PAC ID: 2062415581
- Enrollment ID: I20100324000938
Medical Identifiers
Medical identifiers for Theodore D Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689656829 | NPI | - | NPPES |
| 160027550 | Other | WI | RAILROAD MEDICARE |
| 31494200 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 30240 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Agnesian Healthcare Inc | 1658289624 | 335 |
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. Theodore D Miller allows following entities to bill medicare on his behalf.
| Entity Name | Agnesian Healthcare Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346228541
PECOS PAC ID: 1658289624
Enrollment ID: O20031104000263 |
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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. Theodore D 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 |
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Theodore D Miller, MD
420 E Division St,
Fond Du Lac, WI 54935-4560
Ph: (920) 926-8340 | Theodore D Miller, MD
835 Parkside St,
Ripon, WI 54971-8505
Ph: (920) 745-3530 |
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