Individual ProviderHailey MillerPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9628 Rea Rd, Charlotte, NC 28277-6697(866) 389-2727PECOS EnrollmentBased on the most recent information from CMS, provider Hailey Miller is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1801586607Provider TypeIndividualFull NameMiller, HaileyCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date5/15/2023Last Updated2/13/2025Contact InformationPractice LocationPractice Address9628 Rea Rd, Charlotte, NC 28277-6697Phone(866) 389-2727FaxUnlisted FaxMailing LocationMailing Address225 Verbena St Apt 3221, Charlotte, NC 28217-3354PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense0010-14224North Carolina