Patti Jane Miller, MA, LP is a medicare enrolled "Psychologist" provider in St Bonifacius, Minnesota. Her current practice location is
4368 Spruce Rd, St Bonifacius, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 812-7857.
Patti Jane Miller is licensed to practice in Minnesota (license number LP3515) 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 1073734430.
Healthcare Provider's Profile
Full Name | Patti Jane Miller |
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Gender | Female |
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Speciality | Psychologist |
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Location | 4368 Spruce Rd, St Bonifacius, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073734430
- Provider Enumeration Date: 05/02/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2961947304
- Enrollment ID: I20240710002794
Medical Identifiers
Medical identifiers for Patti Jane Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073734430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | LP3515 (Minnesota) | 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. Patti Jane Miller allows following entities to bill medicare on her behalf.
Entity Name | Midwest Center For Emdr Training |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316716731 PECOS PAC ID: 1052856499 Enrollment ID: O20240710002698 |
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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. Patti Jane 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 |
Patti Jane Miller, MA, LP 4368 Spruce Rd, St Bonifacius, MN 55375-1312 Ph: (952) 446-1182 | Patti Jane Miller, MA, LP 4368 Spruce Rd, St Bonifacius, MN 55375-1312 Ph: (612) 812-7857 |
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