Amanda Rae Miller, APRN, FNP-C in Fort Worth, TX

Amanda Rae Miller, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Fort Worth, Texas. Her current practice location is 1129 6th Ave, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (682) 885-6248.

Amanda Rae Miller is licensed to practice in Texas (license number 1002621) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013524073.

Contact Information

	Amanda Rae Miller, APRN, FNP-C
	1129 6th Ave, Fort Worth, TX 76104-4306
	(682) 885-6248
	(682) 885-6249

Map and Direction

Provider's Profile

Full Name	Amanda Rae Miller
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1129 6th Ave, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013524073
Provider Enumeration Date: 09/24/2020
Last Update Date: 12/05/2023

Medicare PECOS Information:

PECOS PAC ID: 4688041080
Enrollment ID: I20221027001126

Medical Identifiers

Medical identifiers for Amanda Rae Miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013524073	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1002621 (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. Amanda Rae Miller allows following entities to bill medicare on her behalf.

Entity Name	Cook Childrens Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750369203 PECOS PAC ID: 7719884584 Enrollment ID: O20040128000800

Entity Name	Basin Dermatology
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063003754 PECOS PAC ID: 8921404435 Enrollment ID: O20210909000355

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. Amanda Rae 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
Amanda Rae Miller, APRN, FNP-C Po Box 733784, Dallas, TX 75373-3784 Ph: (682) 885-6483	Amanda Rae Miller, APRN, FNP-C 1129 6th Ave, Fort Worth, TX 76104-4306 Ph: (682) 885-6248

Reviews and Comments

Nurse Practitioner Nurses in Fort Worth, TX

Mrs. Amy Michelle Medalie, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4405 River Oaks Blvd, Fort Worth, TX 76114 Phone: 817-624-1770 Fax: 817-625-1287
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Kristi E Tucker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 801 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1475 Fax: 682-885-7520
Lacy Pitchford, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1263 W Rosedale St Ste 200, Fort Worth, TX 76104 Phone: 817-336-4896 Fax: 817-332-2805
Mary Agnes Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 817-922-7070
Susan Akberzie, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 W Pulaski St, Fort Worth, TX 76104 Phone: 682-885-8012 Fax: 682-885-8014

Amanda Rae Miller, APRN, FNP-C - Medicare Nurse Practitioner in Fort Worth, TX