Gracelynn Gene Miller, PT, DPT in Orange, CA - Medicare Physical Therapist Provider

Gracelynn Gene Miller, PT, DPT is a medicare enrolled "Physical Therapist" provider in Orange, California. Her current practice location is 1310 W Stewart Dr Ste 404, Orange, California. You can reach out to her office (for appointments etc.) via phone at (714) 707-6466.

Gracelynn Gene Miller is licensed to practice in California (license number 305768) 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 1376300079.

Contact Information

	Gracelynn Gene Miller, PT, DPT
	1310 W Stewart Dr Ste 404, Orange, CA 92868-3855
	(714) 707-6466
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Gracelynn Gene Miller
Gender	Female
Speciality	Physical Therapist
Location	1310 W Stewart Dr Ste 404, Orange, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376300079
Provider Enumeration Date: 02/29/2024
Last Update Date: 07/29/2024

Medicare PECOS Information:

PECOS PAC ID: 2567800329
Enrollment ID: I20240329002065

Medical Identifiers

Medical identifiers for Gracelynn Gene Miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376300079	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT61526686 (Washington)	Secondary
225100000X	Physical Therapist	305768 (California)	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. Gracelynn Gene Miller allows following entities to bill medicare on her behalf.

Provider Name	Therapeutic Associates Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1497731244 PECOS PAC ID: 0042116279 Enrollment ID: O20040126000117

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. Gracelynn Gene 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
Gracelynn Gene Miller, PT, DPT 2003 W Atkinson Rd, Othello, WA 99344-9744 Ph: (509) 954-9499	Gracelynn Gene Miller, PT, DPT 1310 W Stewart Dr Ste 404, Orange, CA 92868-3855 Ph: (714) 707-6466

Reviews and Comments

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Gracelynn Gene Miller, PT, DPT - Medicare Physical Therapist in Orange, CA