Braedon Clay Miller, PT, DPT in Dallas, OR - Medicare Physical Therapist Provider

Braedon Clay Miller, PT, DPT is a medicare enrolled "Physical Therapist" provider in Dallas, Oregon. His current practice location is 641 Se Miller Ave, Dallas, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 623-7305.

Braedon Clay Miller is licensed to practice in Oregon (license number 64987) 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 1174209456.

Contact Information

	Braedon Clay Miller, PT, DPT
	641 Se Miller Ave, Dallas, OR 97338-2634
	(503) 623-7305
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Braedon Clay Miller
Gender	Male
Speciality	Physical Therapist
Location	641 Se Miller Ave, Dallas, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174209456
Provider Enumeration Date: 06/22/2023
Last Update Date: 06/22/2023

Medicare PECOS Information:

PECOS PAC ID: 0840651063
Enrollment ID: I20230803001307

Medical Identifiers

Medical identifiers for Braedon Clay Miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174209456	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	64987 (Oregon)	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. Braedon Clay Miller allows following entities to bill medicare on his behalf.

Provider Name	Salem Health West Valley
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1245237486 PECOS PAC ID: 7810804630 Enrollment ID: O20040225000830

Provider Name	Salem Health
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1265431829 PECOS PAC ID: 8628986668 Enrollment ID: O20040309001131

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. Braedon Clay 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
Braedon Clay Miller, PT, DPT 6300 Fern Hill Rd, Monmouth, OR 97361-9687 Ph: (425) 749-9831	Braedon Clay Miller, PT, DPT 641 Se Miller Ave, Dallas, OR 97338-2634 Ph: (503) 623-7305

Reviews and Comments

Physical Therapist in Dallas, OR

Timothy Ryan Jamar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 377 Nw Jasper St, Dallas, OR 97338 Phone: 503-623-5581
Rolf Jett Vognild, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17550 Gardner Rd, Dallas, OR 97338 Phone: 503-623-4084
Melinda Walker, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 322 Main St # 326, Dallas, OR 97338 Phone: 503-837-1316
Troy J Hattan, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 525 Se Washington St, Dallas, OR 97338 Phone: 503-623-7305 Fax: 503-623-7325
Mr. Alan M Noble, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 210 W Ellendale Ave Ste 100, Dallas, OR 97338 Phone: 503-623-2433 Fax: 503-623-2196
Dr. Lea Camille Domingo Keenantasker, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 377 Nw Jasper St, Dallas, OR 97338 Phone: 503-623-5581

Braedon Clay Miller, PT, DPT - Medicare Physical Therapist in Dallas, OR