Theodore D Miller, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Ripon, Wisconsin. 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 | |
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Experience | 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. |
Medical Education and Training:
- Theodore D Miller attended and graduated from in
NPI Data:
- NPI Number: 1689656829
- Provider Enumeration Date: 11/15/2005
- Last Update Date: 11/18/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
207V00000X | Obstetrics & Gynecology | 30240 (Wisconsin) | Primary |
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 |
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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