Kennon Miller, MD - Medicare Urology in E Providence, RI

Kennon Miller, MD is a medicare enrolled "Urology" physician in E Providence, Rhode Island. He went to Geisel School Of Medicine At Dartmouth and graduated in 1987 and has 37 years of diverse experience with area of expertise as Urology. He is a member of the group practice Brown Urology, Inc. and his current practice location is 450 Veterans Memorial Pkwy, Building 14, E Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 435-6600.

Kennon Miller is licensed to practice in Rhode Island (license number MD11459) 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 1689786725.

Contact Information

Kennon Miller, MD
450 Veterans Memorial Pkwy, Building 14,
E Providence, RI 02914-5300
(401) 435-6600
Not Available



Physician's Profile

Full NameKennon Miller
GenderMale
SpecialityUrology
Experience37 Years
Location450 Veterans Memorial Pkwy, E Providence, Rhode Island
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:
  • Kennon Miller attended and graduated from Geisel School Of Medicine At Dartmouth in 1987
  NPI Data:
  • NPI Number: 1689786725
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 02/20/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 4385616598
  • Enrollment ID: I20040809000969

Medical Identifiers

Medical identifiers for Kennon Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689786725NPI-NPPES
27549OtherRIBLUE SHIELD
9003513MedicaidRI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology MD11459 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The Miriam HospitalProvidence, RIHospital
Rhode Island HospitalProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Brown Urology, Inc.781025451330

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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. Kennon Miller allows following entities to bill medicare on his behalf.
Entity NameBrown Urology, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467973099
PECOS PAC ID: 7810254513
Enrollment ID: O20171206000082

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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. Kennon 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
Kennon Miller, MD
144 Woodbury St,
Providence, RI 02906-3546

Ph: (401) 435-6600
Kennon Miller, MD
450 Veterans Memorial Pkwy, Building 14,
E Providence, RI 02914-5300

Ph: (401) 435-6600

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Urology Doctors in E Providence, RI

Rashmi S Licht, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 450 Veterans Memorial Pkwy, Building 14, E Providence, RI 02914
Phone: 401-435-6600    
Eric Bradley Miller, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 450 Veterans Memorial Pkwy, Building 14, E Providence, RI 02914
Phone: 401-435-6600    
Bernard A Moule, MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 450 Veterans Memorial Pkwy, Building 14, E Providence, RI 02914
Phone: 401-435-6600    

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