Kimberley Miller, PHD in Park Ridge, IL - Medicare Psychologist Provider

Kimberley Miller, PHD is a medicare enrolled "Psychologist - Clinical" provider in Park Ridge, Illinois. Her current practice location is 1775 Ballard Rd, Park Ridge, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 318-2923.

Kimberley Miller is licensed to practice in Illinois (license number 071010794) 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 1376090514.

Contact Information

	Kimberley Miller, PHD
	1775 Ballard Rd, Park Ridge, IL 60068-1005
	(847) 318-2923
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberley Miller
Gender	Female
Speciality	Psychologist - Clinical
Location	1775 Ballard Rd, Park Ridge, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376090514
Provider Enumeration Date: 09/06/2016
Last Update Date: 12/01/2022

Medicare PECOS Information:

PECOS PAC ID: 2567880065
Enrollment ID: I20230208002042

Medical Identifiers

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

Identifier	Type	State	Issuer
1376090514	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	Secondary
103T00000X	Psychologist	071010794 (Illinois)	Secondary
103TC0700X	Psychologist - Clinical	071010794 (Illinois)	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. Kimberley Miller allows following entities to bill medicare on her behalf.

Entity Name	Advocate Health And Hospitals Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064

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. Kimberley 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
Kimberley Miller, PHD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900	Kimberley Miller, PHD 1775 Ballard Rd, Park Ridge, IL 60068-1005 Ph: (847) 318-2923

Reviews and Comments

Psychologist in Park Ridge, IL

Dr. Yuleung Eric To, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1400 Renaissance Dr, Suite 104, Park Ridge, IL 60068 Phone: 224-625-0280
Ilana Gross, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 36 Main St, Park Ridge, IL 60068 Phone: 847-692-6692
Dr. Jennifer Palmer, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1675 Dempster St, Park Ridge, IL 60068 Phone: 847-723-2800
Dr. Laurie J Golden, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-6127 Fax: 847-723-2061
Mrs. Aubrey Hulsebosch, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1001 S Fairview Ave, Park Ridge, IL 60068 Phone: 847-653-3585
Dr. Ritu D Trivedi-purohit, PSYD. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1440 Renaissance Dr, Suite 200, Park Ridge, IL 60068 Phone: 847-742-6041 Fax: 866-565-9307
Dr. Stefanie Warning-probst, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-2210

Kimberley Miller, PHD - Medicare Psychologist in Park Ridge, IL