Mrs Michaela Marie Miller, APRN is a medicare enrolled "Nurse Practitioner - Family" in Marshall, Illinois. Her current practice location is
408 N 2nd St, Marshall, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 826-2361.
Mrs Michaela Marie Miller is licensed to practice in Illinois (license number 209029479) 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 1538913454.
Provider's Profile
| Full Name | Mrs Michaela Marie Miller |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 408 N 2nd St, Marshall, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1538913454
- Provider Enumeration Date: 04/16/2024
- Last Update Date: 04/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 2264964642
- Enrollment ID: I20241010003345
Medical Identifiers
Medical identifiers for Mrs Michaela Marie Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538913454 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 71015099A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209029479 (Illinois) | 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. Mrs Michaela Marie Miller allows following entities to bill medicare on her behalf.
| Entity Name | Union Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952335192
PECOS PAC ID: 8426943614
Enrollment ID: O20040217000654 |
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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. Mrs Michaela Marie 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 |
|---|
Mrs Michaela Marie Miller, APRN
109 Aspen St,
Marshall, IL 62441-4259
Ph: (217) 822-6161 | Mrs Michaela Marie Miller, APRN
408 N 2nd St,
Marshall, IL 62441-1010
Ph: (217) 826-2361 |
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