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Matthew Phillip Miller

Student in an Organized Health Care Education/Training Program

Student, Health Care

128 E. Apple St., Wche 7th Floor, Dayton, OH 45409

PECOS Enrollment

This provider is enrolled in PECOS as MATTHEW MILLER.

Based on the most recent information from CMS, provider Matthew Phillip Miller is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 1:10 PM.

Profile Details

Provider ID
1164016234
Provider Type
Individual
Full Name
Miller, Matthew Phillip
Gender
Male

Sole Proprietor
Yes
Enumeration Date
3/1/2021
Last Updated
4/29/2021

Contact Information

Practice Location

128 E. Apple St., Wche 7th Floor, Dayton, OH 45409

(719) 351-8219

Unlisted Fax

Mailing Location

128 E. Apple St., Wche 7th Floor, Dayton, OH 45409

(719) 351-8219

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Matthew Phillip Miller

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Code

Description

License

Code

Description

License

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