Mariam Imnadze Miller, MD - Medicare Urology in Anchorage, AK

Mariam Imnadze Miller, MD is a medicare enrolled "Urology" physician in Anchorage, Alaska. She went to State University Of New York At Buffalo School Of Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Urology. She is a member of the group practice Alaska Native Tribal Health Consortium, Yukon-kuskokwim Health Corporation and her current practice location is 4315 Diplomacy Dr, Dept Of Urology, Anchorage, Alaska. You can reach out to her office (for appointments etc.) via phone at (855) 482-4382.

Mariam Imnadze Miller is licensed to practice in Alaska (license number 101249) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659533222.

Contact Information

Mariam Imnadze Miller, MD
4315 Diplomacy Dr, Dept Of Urology,
Anchorage, AK 99508-5926
(855) 482-4382
Not Available



Physician's Profile

Full NameMariam Imnadze Miller
GenderFemale
SpecialityUrology
Experience16 Years
Location4315 Diplomacy Dr, Anchorage, Alaska
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mariam Imnadze Miller attended and graduated from State University Of New York At Buffalo School Of Medicine in 2008
  NPI Data:
  • NPI Number: 1659533222
  • Provider Enumeration Date: 06/25/2008
  • Last Update Date: 12/15/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3870713605
  • Enrollment ID: I20151024000191

Medical Identifiers

Medical identifiers for Mariam Imnadze Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659533222NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 101249 (Alaska)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Alaska Native Medical CenterAnchorage, AKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Alaska Native Tribal Health Consortium6709780265457
Yukon-kuskokwim Health Corporation519371876577

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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. Mariam Imnadze Miller allows following entities to bill medicare on her behalf.
Entity NameSoutheast Alaska Regional Health Consortium
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376758037
PECOS PAC ID: 1456265362
Enrollment ID: O20031114000631

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Entity NameAlaska Native Tribal Health Consortium
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437189339
PECOS PAC ID: 6709780265
Enrollment ID: O20031125000772

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Entity NameYukon-kuskokwim Health Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447477815
PECOS PAC ID: 5193718765
Enrollment ID: O20040407001515

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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. Mariam Imnadze 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
Mariam Imnadze Miller, MD
4315 Diplomacy Drive, Dept Of Urology,
Anchorage, AK 99508

Ph: (907) 729-4443
Mariam Imnadze Miller, MD
4315 Diplomacy Dr, Dept Of Urology,
Anchorage, AK 99508-5926

Ph: (855) 482-4382

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Urology Doctors in Anchorage, AK

William R Clark Ii,
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 188 W Northern Lights Blvd, Suite 800, Anchorage, AK 99503
Phone: 907-276-2803    Fax: 907-278-8052
Dr. J. Wesley Turner, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 3841 Piper St, Suite T300, Anchorage, AK 99508
Phone: 907-563-3103    Fax: 907-561-1862
Bryan James Wilson, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508
Phone: 206-257-8989    
Owen Aftreth, M.D.
Urology
Medicare: May Accept Medicare Assignments
Practice Location: 3841 Piper St Ste T300, Anchorage, AK 99508
Phone: 907-563-3103    
Lawrence R Strawbridge, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 188 W Northern Lights Blvd, Suite 800, Anchorage, AK 99503
Phone: 907-276-2803    Fax: 907-278-8052
William L Lubke, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508
Phone: 907-729-2748    Fax: 907-729-2746
Dr. Paul G. Ferucci, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 3841 Piper St, Suite T300, Anchorage, AK 99508
Phone: 907-563-3103    Fax: 907-561-1862

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