Kelly B Miller, in Wilmington, NC - Medicare Nurse Practitioner

Kelly B Miller, is a medicare enrolled "Nurse Practitioner" in Wilmington, North Carolina. Her current practice location is 2334 41st St, Wilmington, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 641-4095.

Kelly B Miller is licensed to practice in North Carolina (license number 5017849) 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 1023711363.

Contact Information

	Kelly B Miller,
	2334 41st St, Wilmington, NC 28403-5502
	(910) 641-4095
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelly B Miller
Gender	Female
Speciality	Nurse Practitioner
Location	2334 41st St, Wilmington, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023711363
Provider Enumeration Date: 03/24/2023
Last Update Date: 03/28/2023

Medicare PECOS Information:

PECOS PAC ID: 2365880200
Enrollment ID: I20240410003413

Medical Identifiers

Medical identifiers for Kelly B Miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023711363	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5017849 (North Carolina)	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. Kelly B Miller allows following entities to bill medicare on her behalf.

Entity Name	Liberty Healthcare Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629217856 PECOS PAC ID: 4587574355 Enrollment ID: O20090428000566

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. Kelly B 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
Kelly B Miller, 1923 Silver Spoon Rd, Evergreen, NC 28438-6002 Ph: (910) 770-1064	Kelly B Miller, 2334 41st St, Wilmington, NC 28403-5502 Ph: (910) 641-4095

Reviews and Comments

Nurse Practitioner Nurses in Wilmington, NC

Travis Aaron Finkle, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2909 Market St, Wilmington, NC 28403 Phone: 910-687-4888
Carolyn Jones, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-667-2970
Valerie Lynn Wegener, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8108b Market St, Wilmington, NC 28411 Phone: 910-341-3300 Fax: 910-251-2067
Nannette B Martin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-772-9202 Fax: 910-772-9452
Elizabeth Granger, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-667-2970
Todd Alan Stugart, MSN, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2311 Delaney Ave, Wilmington, NC 28403 Phone: 910-762-8754 Fax: 910-762-0778

Kelly B Miller, - Medicare Nurse Practitioner in Wilmington, NC