Mr Charles Brian Miller, RN, APRN, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Hixson, Tennessee. His current practice location is
7918 Selcer Rd, Hixson, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 290-2411.
Mr Charles Brian Miller is licensed to practice in Tennessee (license number 22175) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376087502.
Provider's Profile
| Full Name | Mr Charles Brian Miller |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Anesthetist, Certified Registered |
|---|
| Location | 7918 Selcer Rd, Hixson, Tennessee |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1376087502
- Provider Enumeration Date: 12/07/2016
- Last Update Date: 01/20/2017
Medicare PECOS Information:
- PECOS PAC ID: 3072896067
- Enrollment ID: I20170217001460
Medical Identifiers
Medical identifiers for Mr Charles Brian Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376087502 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 185745 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 22175 (Tennessee) | 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. Mr Charles Brian Miller allows following entities to bill medicare on his behalf.
| Entity Name | Cspm Anesthesia Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1982142865
PECOS PAC ID: 4688941107
Enrollment ID: O20170603000192 |
|---|
| Entity Name | Scenic City Neurotherapy And Ketamine Center Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1366077539
PECOS PAC ID: 7416386941
Enrollment ID: O20200406000155 |
|---|
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. Mr Charles Brian 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 |
|---|
Mr Charles Brian Miller, RN, APRN, CRNA
410 N Cedar Bluff Rd, Ste 300,
Knoxville, TN 37923-3632
Ph: (865) 342-8900 | Mr Charles Brian Miller, RN, APRN, CRNA
7918 Selcer Rd,
Hixson, TN 37343-1943
Ph: (423) 290-2411 |
Reviews and Comments