Dr Kim Patricia Miller, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in New York, New York. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Island Psychiatry Pc and her current practice location is
1160 5th Ave, Apt 112, New York, New York. You can reach out to her office (for appointments etc.) via phone at
(347) 204-4629.
Dr Kim Patricia Miller is licensed to practice in New York (license number 016390) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1053319947.
Healthcare Provider's Profile
| Full Name | Dr Kim Patricia Miller |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 20 Years |
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| Location | 1160 5th Ave, New York, New York |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kim Patricia Miller graduated from medical school in 2004
NPI Data:
- NPI Number: 1053319947
- Provider Enumeration Date: 07/13/2005
- Last Update Date: 06/26/2020
Medicare PECOS Information:
- PECOS PAC ID: 5597785329
- Enrollment ID: I20051123000058
Medical Identifiers
Medical identifiers for Dr Kim Patricia Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053319947 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 016390 (New York) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 016390 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Island Psychiatry Pc | 9032490610 | 8 |
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 Kim Patricia Miller allows following entities to bill medicare on her behalf.
| Entity Name | Island Psychiatry Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609249754
PECOS PAC ID: 9032490610
Enrollment ID: O20161220001752 |
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| Entity Name | Wellqor Psychological Services Northeast, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326442567
PECOS PAC ID: 7618299116
Enrollment ID: O20170526000453 |
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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 Kim Patricia 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 |
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Dr Kim Patricia Miller, PHD
73 Horton Dr,
Huntington Station, NY 11746-4238
Ph: (347) 204-4629 | Dr Kim Patricia Miller, PHD
1160 5th Ave, Apt 112,
New York, NY 10029-6933
Ph: (347) 204-4629 |
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