Charles Michael Miller, DO - Medicare Family Practice in Appleton, WI

Charles Michael Miller, DO is a medicare enrolled "Family Medicine" physician in Appleton, Wisconsin. He went to West Virginia School Of Osteopathic Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Ascension Medical Group-fox Valley Wisconsin Inc and his current practice location is 3329 N Richmond St, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 380-2715.

Charles Michael Miller is licensed to practice in Wisconsin (license number 64435-21) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1275896946.

Contact Information

Charles Michael Miller, DO
3329 N Richmond St,
Appleton, WI 54911-1063
(920) 380-2715
Not Available



Physician's Profile

Full NameCharles Michael Miller
GenderMale
SpecialityFamily Practice
Experience12 Years
Location3329 N Richmond St, Appleton, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charles Michael Miller attended and graduated from West Virginia School Of Osteopathic Medicine in 2012
  NPI Data:
  • NPI Number: 1275896946
  • Provider Enumeration Date: 06/19/2012
  • Last Update Date: 08/06/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1052551173
  • Enrollment ID: I20150824002507

Medical Identifiers

Medical identifiers for Charles Michael Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275896946NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 64435-21 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension At HomeNeenah, WIHome health agency
Ascension Ne Wisconsin - St Elizabeth CampusAppleton, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ascension Medical Group-fox Valley Wisconsin Inc0244142420258

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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. Charles Michael Miller allows following entities to bill medicare on his behalf.
Entity NameAscension Medical Group-fox Valley Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730126392
PECOS PAC ID: 0244142420
Enrollment ID: O20031105000351

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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. Charles Michael 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 AddressPractice Location Address
Charles Michael Miller, DO
3329 N Richmond St,
Appleton, WI 54911-1063

Ph: (920) 380-2715
Charles Michael Miller, DO
3329 N Richmond St,
Appleton, WI 54911-1063

Ph: (920) 380-2715

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Family Medicine Doctors in Appleton, WI

Michael John Van Abel, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 3916 N Intertech Ct, Appleton, WI 54913
Phone: 920-996-1000    
Stephen C Fuller, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3916 N Intertech Ct, Appleton, WI 54913
Phone: 920-996-1000    
Samuel James Heiks, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3916 N Intertech Ct, Appleton, WI 54913
Phone: 920-996-1000    Fax: 920-996-1054
Brittany E Goodrich-braun,
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 3925 N Gateway Dr, Appleton, WI 54913
Phone: 920-830-6877    
Dirk Jon Derksen, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 10 Wagon Wheel Dr, Appleton, WI 54913
Phone: 920-731-6374    
Ms. Cynthia Frances Susedik, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3925 N Gateway Dr, Appleton, WI 54913
Phone: 920-830-6877    Fax: 920-993-5037
N Carter Noble, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3329 N Richmond St, Appleton, WI 54911
Phone: 920-380-2715    

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