Russell Miller, CNP - Medicare Nurse Practitioner in Shelby Township, MI

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Russell Miller, CNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Shelby Township, Michigan. His current practice location is 50505 Schoenherr Rd, Ste. 340, Shelby Township, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 731-8400.

Russell Miller is licensed to practice in Michigan (license number 4704281165) 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 1013455922.

Contact Information

Russell Miller, CNP
50505 Schoenherr Rd, Ste. 340,
Shelby Township, MI 48315-3140
(586) 731-8400
Not Available

Map and Direction




Provider's Profile

Full NameRussell Miller
GenderMale
SpecialityNurse Practitioner - Gerontology
Location50505 Schoenherr Rd, Shelby Township, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013455922
  • Provider Enumeration Date: 02/11/2017
  • Last Update Date: 02/11/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1759665292
  • Enrollment ID: I20170301002297

Medical Identifiers

Medical identifiers for Russell Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013455922NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 4704281165 (Michigan)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. Russell Miller allows following entities to bill medicare on his behalf.
Entity NameGreat Lakes Medicine Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740210517
PECOS PAC ID: 4880613637
Enrollment ID: O20051122000265
Entity NameMeadowbrook Primary Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154712073
PECOS PAC ID: 2769700160
Enrollment ID: O20150415001212

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. Russell 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
Russell Miller, CNP
50505 Schoenherr Rd, Ste. 340,
Shelby Township, MI 48315-3140

Ph: (586) 731-8400		Russell Miller, CNP
50505 Schoenherr Rd, Ste. 340,
Shelby Township, MI 48315-3140

Ph: (586) 731-8400

Reviews and Comments


Nurse Practitioner Nurses in Shelby Township, MI

Miss Joey Fattizzo, FNP, RN, RDH
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Practice Location: 45445 Mound Round, Suite 105, Shelby Township, MI 48317
Phone: 586-200-8707    Fax: 248-282-1313
Mrs. Karey Hartford, F.N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 49310 Van Dyke Ave, Shelby Township, MI 48317
Phone: 586-731-8900    Fax: 586-726-5439
Diana Scanlon, CNP
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Medicare: Accepting Medicare Assignments
Practice Location: 45640 Schoenherr Rd, Suite B, Shelby Township, MI 48315
Phone: 586-247-4300    Fax: 586-532-6496
Tyler Mclaughlan, FNP
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Practice Location: 14270 Oakwood Dr, Shelby Township, MI 48315
Phone: 586-900-9444    
Kathleen Lewis,
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Medicare: Medicare Enrolled
Practice Location: 46961 Van Dyke Ave, Shelby Township, MI 48317
Phone: 586-991-5205    
Theola J Rivera, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8180 26 Mile Rd, Suite 100, Shelby Township, MI 48316
Phone: 586-336-7321    Fax: 586-336-7356

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.