Madison Miller, OT is a medicare enrolled "Physical Medicine & Rehabilitation" provider in Phoenix, Arizona. Her current practice location is
1190 E Missouri Ave Ste 100, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 393-0520.
Madison Miller is licensed to practice in Arizona (license number OTH009609) 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 1619716347.
Healthcare Provider's Profile
| Full Name | Madison Miller |
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| Gender | Female |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 1190 E Missouri Ave Ste 100, Phoenix, Arizona |
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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: 1619716347
- Provider Enumeration Date: 05/22/2024
- Last Update Date: 05/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 5294278024
- Enrollment ID: I20240620002723
Medical Identifiers
Medical identifiers for Madison Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619716347 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | OTH009609 (Arizona) | 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. Madison Miller allows following entities to bill medicare on her behalf.
| Provider Name | Rww Outpatient Rehab Services Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1447744461
PECOS PAC ID: 8729333521
Enrollment ID: O20181022003444 |
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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. Madison 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 |
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Madison Miller, OT
777 E Stella Ln Apt 241,
Phoenix, AZ 85014-0010
Ph: (765) 650-1066 | Madison Miller, OT
1190 E Missouri Ave Ste 100,
Phoenix, AZ 85014-2719
Ph: (602) 393-0520 |
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