Mr Joseph Jerald Miller, CRNA in Carbondale, IL - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Joseph Jerald Miller, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Carbondale, Illinois. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Northstar Anesthesia Of Illinois, Llc and his current practice location is 405 W Jackson St, Carbondale, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 549-0721.

Mr Joseph Jerald Miller is licensed to practice in Illinois (license number 209012463) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720476914.

Contact Information

	Mr Joseph Jerald Miller, CRNA
	405 W Jackson St, Carbondale, IL 62901-1462
	(618) 549-0721
	(618) 529-0449

Map and Direction

Provider's Profile

Full Name	Mr Joseph Jerald Miller
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	10 Years
Location	405 W Jackson St, Carbondale, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Joseph Jerald Miller graduated from nursing school in 2014

NPI Data:

NPI Number: 1720476914
Provider Enumeration Date: 12/23/2014
Last Update Date: 09/27/2021

Medicare PECOS Information:

PECOS PAC ID: 8325364193
Enrollment ID: I20150313001587

Medical Identifiers

Medical identifiers for Mr Joseph Jerald Miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720476914	NPI	-	NPPES
214881	Other	IL	GROUP PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	180592 (Tennessee)	Secondary
163W00000X	Registered Nurse	041378411 (Illinois)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	209012463 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital Of Carbondale	Carbondale, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northstar Anesthesia Of Illinois, Llc	4688893878	259

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 Joseph Jerald Miller allows following entities to bill medicare on his behalf.

Entity Name	Southern Illinois Medical Services Nfp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595

Entity Name	Northstar Anesthesia Of Illinois, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405

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 Joseph Jerald 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 Joseph Jerald Miller, CRNA Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200	Mr Joseph Jerald Miller, CRNA 405 W Jackson St, Carbondale, IL 62901-1462 Ph: (618) 549-0721

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Carbondale, IL

Mr. Dan Edward Miller, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721
Nathaniel C Crum, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Main St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0449
Mr. Shawn Wayne Pyle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0449
Justin D Craft, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721
Megan E Sims, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721
Britley Ann White, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Sih Medical Group Anesthesiology, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0529
Ms. Christine Marie Dakin, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-549-5128

Mr Joseph Jerald Miller, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Carbondale, IL