Kristina Miller, CPNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Wilmer, Alabama. Her current practice location is
6353 2nd St, Wilmer, Alabama. You can reach out to her office (for appointments etc.) via phone at
(251) 410-7425.
Kristina Miller is licensed to practice in Alabama (license number 1-113092) 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 1710550611.
Provider's Profile
Full Name | Kristina Miller |
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Gender | Female |
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Speciality | Nurse Practitioner - Primary Care |
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Location | 6353 2nd St, Wilmer, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710550611
- Provider Enumeration Date: 07/20/2021
- Last Update Date: 07/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 0446658082
- Enrollment ID: I20211012000882
Medical Identifiers
Medical identifiers for Kristina Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710550611 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP2300X | Nurse Practitioner - Primary Care | 1-113092 (Alabama) | 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. Kristina Miller allows following entities to bill medicare on her behalf.
Entity Name | Wilmer Medical Clinic, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649667577 PECOS PAC ID: 4385954379 Enrollment ID: O20151103001918 |
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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. Kristina 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 |
Kristina Miller, CPNP 6353 2nd St, Wilmer, AL 36587-4453 Ph: (251) 410-7425 | Kristina Miller, CPNP 6353 2nd St, Wilmer, AL 36587-4453 Ph: (251) 410-7425 |
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