Andrea Lee Miles, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Coal City, Indiana. Her current practice location is
1159 Beech Church Rd, Coal City, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 219-5702.
Andrea Lee Miles is licensed to practice in Indiana (license number 71006184A) 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 1720440761.
Provider's Profile
| Full Name | Andrea Lee Miles |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1159 Beech Church Rd, Coal City, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1720440761
- Provider Enumeration Date: 03/28/2016
- Last Update Date: 09/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 6800272923
- Enrollment ID: I20230727001299
Medical Identifiers
Medical identifiers for Andrea Lee Miles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720440761 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 28184825A (Indiana) | Secondary |
| 163W00000X | Registered Nurse | 95351829 (California) | Secondary |
| 163W00000X | Registered Nurse | RN-114808-0 (Hawaii) | Secondary |
| 163W00000X | Registered Nurse | 903785-01 (New York) | Secondary |
| 163W00000X | Registered Nurse | 4704407578 (Michigan) | Secondary |
| 363L00000X | Nurse Practitioner | APRN-4255-0 (Hawaii) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1137353 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AC005667 (Maryland) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0034958 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4007286 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 0100902 (Colorado) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 4704407578 (Michigan) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 53-82432-041 (Kansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 13499833-4405 (Utah) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71006184A (Indiana) | 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. Andrea Lee Miles allows following entities to bill medicare on her behalf.
| Entity Name | Metro Infectious Disease Consultants Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235125717
PECOS PAC ID: 3072425784
Enrollment ID: O20070323000403 |
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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. Andrea Lee Miles 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 |
|---|
Andrea Lee Miles, FNP-C
1159 Beech Church Rd,
Coal City, IN 47427-7900
Ph: (812) 219-5702 | Andrea Lee Miles, FNP-C
1159 Beech Church Rd,
Coal City, IN 47427-7900
Ph: (812) 219-5702 |
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