Dr Keith Lyndon Miller, OD is a medicare enrolled "Optometrist" provider in Stevenson, Washington. His current practice location is
136 Nw Second Street, Stevenson, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 427-8259.
Dr Keith Lyndon Miller is licensed to practice in Washington (license number 602829747) 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 1962437285.
Healthcare Provider's Profile
| Full Name | Dr Keith Lyndon Miller |
|---|
| Gender | Male |
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| Speciality | Optometrist |
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| Location | 136 Nw Second Street, Stevenson, Washington |
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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: 1962437285
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 08/17/2012
Medicare PECOS Information:
- PECOS PAC ID: 5294805016
- Enrollment ID: I20080605000749
Medical Identifiers
Medical identifiers for Dr Keith Lyndon Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962437285 | NPI | - | NPPES |
| G8873418 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 602829747 (Washington) | 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. Dr Keith Lyndon Miller allows following entities to bill medicare on his behalf.
| Provider Name | Mobilitycares Washington Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1184499741
PECOS PAC ID: 5597118216
Enrollment ID: O20240130001341 |
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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. Dr Keith Lyndon 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 |
|---|
Dr Keith Lyndon Miller, OD
7667 Se Lincoln St,
Portland, OR 97215-4153
Ph: (509) 427-8259 | Dr Keith Lyndon Miller, OD
136 Nw Second Street,
Stevenson, WA 98648
Ph: (509) 427-8259 |
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