Mr David L Miller, PA-C in Acoma, NM - Medicare Physician Assistant

Mr David L Miller, PA-C is a medicare enrolled "Physician Assistant - Medical" in Acoma, New Mexico. His current practice location is 80 B Veterans Blvd, Acoma, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 552-5300.

Mr David L Miller is licensed to practice in Texas (license number PA03057) 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 1770699407.

Contact Information

	Mr David L Miller, PA-C
	80 B Veterans Blvd, Acoma, NM 87034
	(505) 552-5300
	(505) 552-5490

Provider's Profile

Full Name	Mr David L Miller
Gender	Male
Speciality	Physician Assistant - Medical
Location	80 B Veterans Blvd, Acoma, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770699407
Provider Enumeration Date: 08/23/2006
Last Update Date: 04/06/2022

Medicare PECOS Information:

PECOS PAC ID: 2668578477
Enrollment ID: I20070510000288

Medical Identifiers

Medical identifiers for Mr David L Miller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770699407	NPI	-	NPPES
PA 2015-0004	Other	NM	PA LICENSE
H3451	Medicaid	NM
PA.200433	Other	LA	LOUISIANA BOARD OF MEDICAL EXAMINERS
PA03057	Other	TX	TEXAS BOARD OF MEDICAL EXAMINERS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA.200433 (Louisiana)	Secondary
363AM0700X	Physician Assistant - Medical	PA2015-0004 (New Mexico)	Secondary
363AM0700X	Physician Assistant - Medical	PA03057 (Texas)	Primary

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. Mr David 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 Address	Practice Location Address
Mr David L Miller, PA-C Po Box 130, San Fidel, NM 87049-0130 Ph: (505) 552-5300	Mr David L Miller, PA-C 80 B Veterans Blvd, Acoma, NM 87034 Ph: (505) 552-5300

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Physician Assistant Nurses in Acoma, NM

Lisa R. Humphries, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5805
Michael P Bonnet, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5828
Donita Sue Demontiney, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5828
Ms. Noreen Tresa Jack-mooney, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5828
Mr. Joseph W Morris, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 80 B Veterans Blvd, I-40, Exit 102, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5828
Brenda Y Pacheco, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 80 B Veterans Blvd, Acoma, NM 87034 Phone: 505-552-5300 Fax: 505-552-5490

Mr David L Miller, PA-C - Medicare Physician Assistant in Acoma, NM