Dr Theodore Robert Miller, PHD, HSPP - Medicare Psychologist in Marion, IN

Dr Theodore Robert Miller, PHD, HSPP is a medicare enrolled "Psychologist - Rehabilitation" provider in Marion, Indiana. His current practice location is 1700 E 38th St, Marion, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 674-3321.

Dr Theodore Robert Miller is licensed to practice in Indiana (license number 20010382A) 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 1376565796.

Contact Information

Dr Theodore Robert Miller, PHD, HSPP
1700 E 38th St,
Marion, IN 46953-4568
(765) 674-3321
(765) 677-5122



Healthcare Provider's Profile

Full NameDr Theodore Robert Miller
GenderMale
SpecialityPsychologist - Rehabilitation
Location1700 E 38th St, Marion, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376565796
  • Provider Enumeration Date: 07/24/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4587849617
  • Enrollment ID: I20110504000628

Medical Identifiers

Medical identifiers for Dr Theodore Robert Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376565796NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 20010282A (Indiana)Primary
103TA0400XPsychologist - Addiction (substance Use Disorder) 20010382A (Indiana)Primary
103TA0700XPsychologist - Adult Development & Aging 20010382A (Indiana)Primary
103TB0200XPsychologist - Cognitive & Behavioral 20010382A (Indiana)Primary
103TC0700XPsychologist - Clinical 20010382A (Indiana)Primary
103TF0000XPsychologist - Family 20010382A (Indiana)Primary
103TH0100XPsychologist - Health Service 20010382A (Indiana)Primary
103T00000XPsychologist 20010382A (Indiana)Primary
103TP2701XPsychologist - Group Psychotherapy 20010382A (Indiana)Primary
103TR0400XPsychologist - Rehabilitation 20010382A (Indiana)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. Dr Theodore Robert 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
Dr Theodore Robert Miller, PHD, HSPP
11605 N 100 E,
Alexandria, IN 46001-8830

Ph: (765) 724-9534
Dr Theodore Robert Miller, PHD, HSPP
1700 E 38th St,
Marion, IN 46953-4568

Ph: (765) 674-3321

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Psychologist in Marion, IN

Dr. Ryan Allen Hess,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1700 E 38th St, Marion, IN 46953
Phone: 765-674-3321    
Dr. Martin Alan Goodman, PH.D, HSPP
Psychologist
Medicare: Medicare Enrolled
Practice Location: 1700 E 38th St, Marion, IN 46953
Phone: 765-674-3321    
Dr. Marguerite Wyman, PHD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 1700 E 38th St, Marion, IN 46953
Phone: 765-674-3321    
Dr. Denese M Marino, PSYD, HSPP
Psychologist
Medicare: Medicare Enrolled
Practice Location: 1700 E 38th St, Marion, IN 46953
Phone: 765-674-3321    Fax: 765-677-5115
Douglas Babcock, HSPP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 505 N Wabash Ave, Marion, IN 46952
Phone: 765-662-3971    Fax: 765-668-6718
Dr. Vincent D Kelley, PH.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 1700 E 38th St, Marion, IN 46953
Phone: 765-674-3321    

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