Jack L Miller, MD - Medicare Preventive Medicine in Marietta, GA

Jack L Miller, MD is a medicare enrolled "Preventive Medicine - Preventive Medicine/occupational Environmental Medicine" physician in Marietta, Georgia. His current practice location is 220 Cobb Pkwy N, Suite 400, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (615) 778-4066.

Jack L Miller is licensed to practice in Georgia (license number 024987) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1801912191.

Contact Information

Jack L Miller, MD
220 Cobb Pkwy N, Suite 400,
Marietta, GA 30062-3581
(615) 778-4066
Not Available



Physician's Profile

Full NameJack L Miller
GenderMale
SpecialityPreventive Medicine - Preventive Medicine/occupational Environmental Medicine
Location220 Cobb Pkwy N, Marietta, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801912191
  • Provider Enumeration Date: 03/21/2007
  • Last Update Date: 10/22/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 1254415524
  • Enrollment ID: I20080226000009

Medical Identifiers

Medical identifiers for Jack L Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801912191NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083P0500XPreventive Medicine - Preventive Medicine/occupational Environmental Medicine 024987 (Georgia)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. Jack L Miller allows following entities to bill medicare on his behalf.
Entity NameAmerican Current Care Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710168117
PECOS PAC ID: 9739260019
Enrollment ID: O20080220000473

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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. Jack 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 AddressPractice Location Address
Jack L Miller, MD
5080 Spectrum Drive, Suite 1200 West Tower,
Addison, TX 75001

Ph: (800) 232-3550
Jack L Miller, MD
220 Cobb Pkwy N, Suite 400,
Marietta, GA 30062-3581

Ph: (615) 778-4066

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Preventive Medicine Doctors in Marietta, GA

Dr. Reda Coston, LMP, D.SC, PSYD/PH.D
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2480 Windy Hill Rd Se, Suite 206, Marietta, GA 30067
Phone: 855-525-1011    Fax: 770-953-0074
Dr. Helen Bachvarov Gelly, MD
Preventive Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 61 Whitcher St Ne, Suite 2150, Marietta, GA 30060
Phone: 770-422-4268    Fax: 770-422-2950
Walter B Wildstein, M.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 220 Cobb Pkwy N, Suite 400, Marietta, GA 30062
Phone: 615-778-4066    
Kenya Chantel Miles, M.D.
Preventive Medicine
Medicare: Medicare Enrolled
Practice Location: 3747 Roswell Rd Ste 204, Marietta, GA 30062
Phone: 470-956-4360    
Ms. Tamika A Jones,
Preventive Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 55 Whitcher St Ne, Marietta, GA 30060
Phone: 770-428-0462    
Dr. Stephen Chacko Jacob, M.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3535 Roswell Rd Ste 40, Marietta, GA 30062
Phone: 678-224-5334    
Alejandro R Alam-gonzalez, M.D.
Preventive Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 220 Cobb Pkwy N, Suite 400, Marietta, GA 30062
Phone: 615-778-4066    

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