Bradley W Miller, PA is a medicare enrolled "Physician Assistant" in Bonduel, Wisconsin. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Bellin Memorial Hospital Inc and his current practice location is
401 W Mill St, Bonduel, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 758-2167.
Bradley W Miller is licensed to practice in Wisconsin (license number 2659) 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 1710295670.
Provider's Profile
| Full Name | Bradley W Miller |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 14 Years |
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| Location | 401 W Mill St, Bonduel, 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:
- Bradley W Miller graduated from nursing school in 2010
NPI Data:
- NPI Number: 1710295670
- Provider Enumeration Date: 09/14/2010
- Last Update Date: 07/30/2020
Medicare PECOS Information:
- PECOS PAC ID: 5092909440
- Enrollment ID: I20101030000092
Medical Identifiers
Medical identifiers for Bradley W Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710295670 | NPI | - | NPPES |
| 1093846 | Other | | NATIONAL COMMISSION ON CERTIFIED PHYSICIANS ASSISTANTS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 2659 (Wisconsin) | Primary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
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| Unity Hospice | De pere, WI | Hospice |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Bellin Memorial Hospital Inc | 8820900749 | 533 |
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. Bradley W 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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Bradley W Miller, PA
Po Box 22487,
Green Bay, WI 54305-2487
Ph: (920) 445-7222 | Bradley W Miller, PA
401 W Mill St,
Bonduel, WI 54107-9246
Ph: (715) 758-2167 |
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