Dr Heather Ann Petersohn Miller, AUD is a
Audiologist-hearing Aid Fitter based in Kenosha, Wisconsin. Dr Heather Ann Petersohn Miller is licensed to practice in Wisconsin (license number 355-156) and her current practice location is
6308 8th Ave, Suite 3000, Kenosha, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 656-3300.
NPI number for Dr Heather Ann Petersohn Miller is 1780748269 and her current mailing address is 6308 8th Ave, Suite 3000, Kenosha, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780748269.
Healthcare Provider's Profile
| Full Name | Dr Heather Ann Petersohn Miller |
|---|
| Gender | Female |
|---|
| Speciality | Audiologist-hearing Aid Fitter |
|---|
| Location | 6308 8th Ave, Kenosha, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1780748269
- Provider Enumeration Date: 12/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Heather Ann Petersohn Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780748269 | NPI | - | NPPES |
| 41140100 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 355-156 (Wisconsin) | Primary |
| 231HA2400X | Audiologist - Assistive Technology Practitioner | 355-156 (Wisconsin) | Primary |
| 231HA2500X | Audiologist - Assistive Technology Supplier | 355-156 (Wisconsin) | Primary |
| 237600000X | Audiologist-hearing Aid Fitter | 355-156 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Heather Ann Petersohn Miller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Heather Ann Petersohn Miller, AUD
6308 8th Ave, Suite 3000,
Kenosha, WI 53143-5031
Ph: (262) 656-3300 | Dr Heather Ann Petersohn Miller, AUD
6308 8th Ave, Suite 3000,
Kenosha, WI 53143-5031
Ph: (262) 656-3300 |
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