Mary Sarah Miller, OD is a medicare enrolled "Optometrist" provider in Fort Meade, South Dakota. Her current practice location is
113 Comanche Rd, Fort Meade, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 347-2511.
Mary Sarah Miller is licensed to practice in South Dakota (license number 768) 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 1275789455.
Healthcare Provider's Profile
| Full Name | Mary Sarah Miller |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 113 Comanche Rd, Fort Meade, South Dakota |
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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: 1275789455
- Provider Enumeration Date: 08/07/2008
- Last Update Date: 03/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 4082780945
- Enrollment ID: I20210113003051
Medical Identifiers
Medical identifiers for Mary Sarah Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275789455 | NPI | - | NPPES |
| 71600370 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 281 (Alaska) | Secondary |
| 152W00000X | Optometrist | 3013 (Colorado) | Secondary |
| 152W00000X | Optometrist | 768 (South Dakota) | 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. Mary Sarah Miller allows following entities to bill medicare on her behalf.
| Provider Name | Vision Care Associates Llp |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1265502264
PECOS PAC ID: 2466433990
Enrollment ID: O20040528000918 |
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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. Mary Sarah 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 |
|---|
Mary Sarah Miller, OD
113 Comanche Rd,
Fort Meade, SD 57741-1002
Ph: (605) 347-2511 | Mary Sarah Miller, OD
113 Comanche Rd,
Fort Meade, SD 57741-1002
Ph: (605) 347-2511 |
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