Glendese Camille Miller, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME104698 Issued in FL

Practice address

1309 North Flagler Drive
West Palm Beach, FL 33401

Phone

(561) 882-4541

Fax

(561) 650-6093

NPI assigned

Sep 25, 2006

Last updated

Apr 16, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2024 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rockledge Hospitalist Services LLC

  • Emergency Medicine Physician
  • Rockledge, FL
  • NPI 1699068908
  NPD (past)
• Bellefonte Physician Services, Inc.

  dba Bellefonte Primary Care, South Shore

  • Family Medicine Physician
  • South Shore, KY
  • NPI 1740435445

  Internal Medicine

  NPD (past)
• Our Lady of Bellefonte Hospital, Inc.

  dba Bellefonte Wound Care Center

  • Nurse Practitioner
  • Ashland, KY
  • NPI 1457545543
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1902906373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 NORTH FLAGLER DRIVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33401",
            "telephone_number": "561-882-4541",
            "fax_number": "561-650-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 NORTH FLAGLER DRIVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33401",
            "telephone_number": "561-882-4541",
            "fax_number": "561-650-6093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GLENDESE",
        "middle_name": "CAMILLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME104698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000500660",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2703533",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000598137",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64085814",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Millennium Rehabilitation Center Inc
• Millennium Rehabilitation Center, Inc
• Brittany N Miller, PNPC
• Curt David Miller
• Darryl Miller, MD
• Jacqueline Vega Miller, LMHC
• Jamie L. Miller
• Janice L Miller, M.D.
• Kristin Miller, LCSW
• Lexys Nicolette Miller

• Internal Medicine Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.