Kanisha R Miller, in Kenosha, WI - Medicare Nurse Practitioner

Kanisha R Miller, is a medicare enrolled "Nurse Practitioner - Family" in Kenosha, Wisconsin. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tulsa Emergency Medical Center Inc, Medical Resource Management Llc and her current practice location is 3710 57th Ave, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 652-1474.

Kanisha R Miller is licensed to practice in Wisconsin (license number 10748-33) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699341834.

Contact Information

	Kanisha R Miller,
	3710 57th Ave, Kenosha, WI 53144-4820
	(262) 652-1474
	Not Available

Map and Direction

Provider's Profile

Full Name	Kanisha R Miller
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	3710 57th Ave, Kenosha, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kanisha R Miller graduated from nursing school in 2020

NPI Data:

NPI Number: 1699341834
Provider Enumeration Date: 05/28/2021
Last Update Date: 08/03/2022

Medicare PECOS Information:

PECOS PAC ID: 8224430152
Enrollment ID: I20220725003088

Medical Identifiers

Medical identifiers for Kanisha R Miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699341834	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	10748-33 (Wisconsin)	Primary
363L00000X	Nurse Practitioner	10748-33 (Wisconsin)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tulsa Emergency Medical Center Inc	3375442692	51
Medical Resource Management Llc	4082753918	62

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. Kanisha R Miller allows following entities to bill medicare on her behalf.

Entity Name	Tulsa Emergency Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063479087 PECOS PAC ID: 3375442692 Enrollment ID: O20040106000606

Entity Name	Minuteclinic Diagnostic Of Oklahoma Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285765727 PECOS PAC ID: 9739268897 Enrollment ID: O20080501000151

Entity Name	Medical Resource Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104056365 PECOS PAC ID: 4082753918 Enrollment ID: O20100830000840

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. Kanisha R 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
Kanisha R Miller, 3710 57th Ave, Kenosha, WI 53144-4820 Ph: (262) 652-1474	Kanisha R Miller, 3710 57th Ave, Kenosha, WI 53144-4820 Ph: (262) 652-1474

Reviews and Comments

Nurse Practitioner Nurses in Kenosha, WI

Mrs. Susan H. Pergande, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-6714
Katherine Jean Tura Spencer-schuerman, NURSE PRACTITIONER Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4536 22nd Ave, Kenosha, WI 53140 Phone: 262-565-0044
Carly Worden, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2707 15th Pl, Kenosha, WI 53140 Phone: 262-551-2700
Guadalupe Orlando Romero, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4777 88th Ave, Kenosha, WI 53144 Phone: 262-605-5253 Fax: 262-605-5903
Christine Marie Foster, APNP, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6525 Green Bay Rd, Ste. 2, Kenosha, WI 53142 Phone: 262-789-1191 Fax: 262-821-6180
Alejandra Moore, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7401 104th Ave Ste 110, Kenosha, WI 53142 Phone: 262-764-5595 Fax: 262-764-9314
Quentin R Kasuboski, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10400 75th St, Aurora Medical Center, Kenosha, WI 53142 Phone: 262-697-7000 Fax: 630-734-1560

Kanisha R Miller, - Medicare Nurse Practitioner in Kenosha, WI