Mr Etthan Charles Miller, - Medicare Nurse Practitioner in Wytheville, VA

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Mr Etthan Charles Miller, is a medicare enrolled "Nurse Practitioner - Family" in Wytheville, Virginia. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Forest Family Care Inc and his current practice location is 1785 W Lee Hwy, Wytheville, Virginia. You can reach out to his office (for appointments etc.) via phone at (276) 620-4246.

Mr Etthan Charles Miller is licensed to practice in Virginia (license number 0024172389) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1336546209.

Contact Information

Mr Etthan Charles Miller,
1785 W Lee Hwy,
Wytheville, VA 24382-1437
(276) 620-4246
Not Available

Map and Direction




Provider's Profile

Full NameMr Etthan Charles Miller
GenderMale
SpecialityNurse Practitioner
Experience10 Years
Location1785 W Lee Hwy, Wytheville, Virginia
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Etthan Charles Miller graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1336546209
  • Provider Enumeration Date: 11/20/2014
  • Last Update Date: 11/10/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6507187176
  • Enrollment ID: I20150608001954

Medical Identifiers

Medical identifiers for Mr Etthan Charles Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336546209NPI-NPPES
1336546209MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WE0003XRegistered Nurse - Emergency 0001111520 (Virginia)Secondary
163WX0106XRegistered Nurse - Occupational Health 0001111520 (Virginia)Secondary
363LF0000XNurse Practitioner - Family 0024172389 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wythe Circle Home CareWytheville, VAHome health agency
Wythe County Community HospitalWytheville, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Forest Family Care Inc42847694156

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 Etthan Charles Miller allows following entities to bill medicare on his behalf.
Entity NameForest Family Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316270804
PECOS PAC ID: 4284769415
Enrollment ID: O20100312000859

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 Etthan Charles 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 AddressPractice Location Address
Mr Etthan Charles Miller,
1785 W Lee Hwy, P.o. Box 662,
Wytheville, VA 24382-1437

Ph: (276) 228-6499		Mr Etthan Charles Miller,
1785 W Lee Hwy,
Wytheville, VA 24382-1437

Ph: (276) 620-4246

Reviews and Comments


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Mrs. Cassie Ann Sheffey, FNP
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Phone: 276-223-1703    Fax: 833-450-0823
Jessica L Newman, NP-C
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Kristen L Viars, FNP-C
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Tara D Parks, FNP
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Phone: 276-228-6499    Fax: 276-228-6145
Dr. Pamela Beaver Wells, DNP, FNP-BC
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Kara L Conley, FNP-C
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Medicare: Accepting Medicare Assignments
Practice Location: 340 Peppers Ferry Rd, Wytheville, VA 24382
Phone: 276-250-1675    Fax: 206-203-0141

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.