Mrs Nicole Miller, FNP, PMHNP is a medicare enrolled "Psychiatry & Neurology - Psychiatry" in Fort Walton Beach, Florida. Her current practice location is
907 Mar Walt Dr, Fort Walton Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(267) 331-0660.
Mrs Nicole Miller is licensed to practice in Florida (license number APRN9299714) 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 1093263907.
Provider's Profile
Full Name | Mrs Nicole Miller |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 907 Mar Walt Dr, Fort Walton Beach, Florida |
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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: 1093263907
- Provider Enumeration Date: 09/20/2016
- Last Update Date: 05/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 5496142267
- Enrollment ID: I20220426000332
Medical Identifiers
Medical identifiers for Mrs Nicole Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093263907 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | ARNP9299714 (Florida) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | APRN9299714 (Florida) | Primary |
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 Nicole 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 Nicole Miller, FNP, PMHNP 2200 Siros Ct, Navarre, FL 32566-4181 Ph: (267) 331-0660 | Mrs Nicole Miller, FNP, PMHNP 907 Mar Walt Dr, Fort Walton Beach, FL 32547-6960 Ph: (267) 331-0660 |
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