MR. CRAIG A MILLER LMSW ACSW
NPI 1033190061
Social Worker - Clinical in Tecumseh, MI

NPI Status: Active since November 08, 2005

Contact Information

308 S MAUMEE ST
TECUMSEH, MI
ZIP 49286
Phone: (577) 423-6889
Fax: (577) 423-6890

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Social Worker
Clinical
Accepts Insurance
PECOS Enrolled

About CRAIG MILLER

This page provides the complete NPI Profile along with additional information for Craig Miller, a provider established in Tecumseh, Michigan with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1033190061 assigned on November 2005. The practitioner's primary taxonomy code is 1041C0700X with license number 6801017727 (MI). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI: 1033190061
Provider Name: MR. CRAIG A MILLER LMSW ACSW
Gender: Male
Entity Type: Individual
Location Address: 308 S MAUMEE ST TECUMSEH, MI 49286
Location Phone: (577) 423-6889
Location Fax: (577) 423-6890
Mailing Address: 308 S MAUMEE ST TECUMSEH, MI 49286
Mailing Phone: (577) 423-6889
Mailing Fax: (577) 423-6890
Is Sole Proprietor?: Yes
Enumeration Date: 11-08-2005
Last Update Date: 07-09-2007
Code Navigator

A clinical social worker like Craig Miller is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Social Worker Clinical
Taxonomy Code: 1041C0700X
Type: Behavioral Health & Social Service Providers
License No.: 6801017727
License State: MI
Taxonomy Description: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Blue Cross Blue Shield of Michigan Mutual Insurance Company

Blue Cross� Premier PPO Bronze Extra - PPO
Blue Cross� Premier PPO Bronze HSA - PPO
Blue Cross� Premier PPO Bronze Secure - PPO
Blue Cross� Premier PPO Gold - PPO
Blue Cross� Premier PPO Gold Extra - PPO
Blue Cross� Premier PPO Silver - PPO
Blue Cross� Premier PPO Silver Extra - PPO
Blue Cross� Premier PPO Silver Saver HSA - PPO
Blue Cross� Premier PPO Value - PPO

McLaren Health Plan Community

MHP Bronze - HMO
MHP Bronze Saver (Expanded) - HMO
MHP Expanded Bronze Standard - HMO
MHP Gold - HMO
MHP Gold Standard - HMO
MHP Silver Exchange - HMO
MHP Silver Exchange Rewards - HMO
MHP Silver Standard - HMO
MHP Young Adult/Catastrophic - HMO

Oscar Insurance Company

Bronze Classic 4700 - EPO
Bronze Classic Standard - EPO
Bronze Elite + PCP Saver Plus - EPO
Gold Classic Standard - EPO
Gold Elite Saver Plus - EPO
Secure - EPO
Silver Classic - EPO
Silver Classic Standard - EPO
Silver Simple PCP Saver - EPO

Priority Health

MyPriority Balanced Silver - HMO
MyPriority Balanced Silver Corewell Health West Michigan Network - HMO
MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
MyPriority Balanced Silver Southeast Michigan Network - HMO
MyPriority Balanced Silver Trinity Health East Network - HMO
MyPriority Enhanced Gold Corewell Health West Michigan Network - HMO
MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
MyPriority Enhanced Gold Southeast Michigan Network - HMO
MyPriority Enhanced Gold Trinity Health East Network - HMO
MyPriority Premier Silver - HMO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
OM61980	MEDICARE ID-TYPE UNSPECIFIED (04)	MI
8008924900	MEDICAID (05)	MI

Medicare Participation & PECOS Enrollment Status

Craig Miller is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 49286 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is NA

Average New Patient Price $0
Minimum New Patient Price $54.34
Maximum New Patient Price $166.68

Average New Patient Copayment $0
Minimum New Patient Copayment $13.58
Maximum New Patient Copayment $41.67

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $68.07
Minimum Established Patient Price $17.09
Maximum Established Patient Price $135.4

Average Established Patient Copayment $17.01
Minimum Established Patient Copayment $4.27
Maximum Established Patient Copayment $33.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	0	3	3	1	9	0	0	6	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	6	3	2	9	0	0	12
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 2 + 9 + 0 + 0 + 1 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 1									1

The NPI number 1033190061 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 14 providers are registered at the same or nearby location.

MRS. JAN S BAILEY LMSW ACSW

Social Worker

(Clinical)