Staci L Miller, PT in Charlotte, NC - Medicare Physical Therapist Provider

Staci L Miller, PT is a medicare enrolled "Physical Therapist" provider in Charlotte, North Carolina. Her current practice location is 5113 Piper Station Dr, Suite 202, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 224-8191.

Staci L Miller is licensed to practice in North Carolina (license number 11833) 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 1467562900.

Contact Information

	Staci L Miller, PT
	5113 Piper Station Dr, Suite 202, Charlotte, NC 28277-6689
	(980) 224-8191
	(980) 224-8194

Map and Direction

Healthcare Provider's Profile

Full Name	Staci L Miller
Gender	Female
Speciality	Physical Therapist
Location	5113 Piper Station Dr, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467562900
Provider Enumeration Date: 08/30/2006
Last Update Date: 03/18/2011

Medicare PECOS Information:

PECOS PAC ID: 8729052105
Enrollment ID: I20090506000007

Medical Identifiers

Medical identifiers for Staci L Miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467562900	NPI	-	NPPES
11346086	Other		CIGNA
11346086	Other		GREAT WEST
00068157	Other	VT	BLUE CROSS BLUE SHIELD
1010769	Medicaid	VT
373056	Other		MVP HEALTHCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	033085-1 (New York)	Secondary
225100000X	Physical Therapist	0400003599 (Vermont)	Secondary
225100000X	Physical Therapist	11833 (North Carolina)	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. Staci L Miller allows following entities to bill medicare on her behalf.

Provider Name	Collective Therapy Corp
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1396380911 PECOS PAC ID: 0143651802 Enrollment ID: O20200513000150

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. Staci L 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
Staci L Miller, PT 5113 Piper Station Dr, Suite 202, Charlotte, NC 28277-6689 Ph: (980) 224-8191	Staci L Miller, PT 5113 Piper Station Dr, Suite 202, Charlotte, NC 28277-6689 Ph: (980) 224-8191

Reviews and Comments

Physical Therapist in Charlotte, NC

Karan Bobby Johar, D.P.T Physical Therapist Medicare: Medicare Enrolled Practice Location: 3800 Shamrock Dr, Charlotte, NC 28215 Phone: 704-532-7000
Jessica Huschart, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1100 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2382
Victoria Parish Reynolds, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15825 Ballantyne Medical Pl Ste 120, Charlotte, NC 28277 Phone: 704-323-3409
Activade Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 809 Woodruff Pl, Charlotte, NC 28208 Phone: 704-839-2019
Gelt Haridhas Pushpa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 445 S Kings Dr, Charlotte, NC 28204 Phone: 704-384-1737
Reyna Yuritzia Fox, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3442 Cypress Club Dr, Charlotte, NC 28210 Phone: 704-714-5500
Ashley F Volpenhein, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7422 Lancer Dr, Charlotte, NC 28226 Phone: 704-307-0897

Staci L Miller, PT - Medicare Physical Therapist in Charlotte, NC