Look up the most recent NPI and PECOS records

Nicholas Wyatt Miller

Emergency Medicine

Allopathic & Osteopathic Physicians

Stony Brook University Hospital, Emergency Medicine, Hsc, Level 4, Room 080, Stony Brook, NY 11794-8350

PECOS Enrollment

This provider is enrolled in PECOS as NICHOLAS MILLER.

Based on the most recent information from CMS, provider Nicholas Wyatt 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 4 days ago.

Profile Details

Provider ID
1548467566
Provider Type
Individual
Full Name
Miller, Nicholas Wyatt
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/2/2007
Last Updated
2/25/2019

Contact Information

Practice Location

Stony Brook University Hospital, Emergency Medicine, Hsc, Level 4, Room 080, Stony Brook, NY 11794-8350

(631) 444-2478

Unlisted Fax

Mailing Location

365 Montauk Ave, New London, CT 06320-4700

(860) 442-0711

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 056669 Connecticut
Code 207P00000X	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 268681-1 New York

Nicholas Wyatt Miller

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Brandler, Ethan Samuel

Ulloa, Nicolas Alejandro

Schiavone, Frederick

Patel, Jiten

Lim, Aaron Tungyin

Henry, Mark

Wright, Brian Joseph

Singer, Adam

Otterness, Karalynn

Leibowitz, Jillian Ashley