Mrs Credonna L Miller, AUD | |
5 Medical Park Dr, Ste 101, Benton, AR 72015-3729 | |
(501) 778-3868 | |
(501) 317-1704 |
Full Name | Mrs Credonna L Miller |
---|---|
Gender | Female |
Speciality | Qualified Audiologist |
Experience | 36 Years |
Location | 5 Medical Park Dr, Benton, Arkansas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063487288 | NPI | - | NPPES |
131885720 | Medicaid | AR | |
621697738 | Other | AR | TAX ID # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | A#90 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saline Audiology Associates, Llc. | 3577730670 | 2 |
Provider Name | Saline Audiology Associates, Llc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063471597 PECOS PAC ID: 3577730670 Enrollment ID: O20120112000462 |
Mailing Address | Practice Location Address |
---|---|
Mrs Credonna L Miller, AUD 5 Medical Park Dr, Ste 101, Benton, AR 72015-3729 Ph: (501) 778-3868 | Mrs Credonna L Miller, AUD 5 Medical Park Dr, Ste 101, Benton, AR 72015-3729 Ph: (501) 778-3868 |
Mrs. Lisa C Richey, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 5 Medical Park Dr, Suite 101, Benton, AR 72015 Phone: 501-778-3868 | |
Wibd--little Rock, Pllc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Highway 35 N Ste 1, Benton, AR 72019 Phone: 501-776-4343 Fax: 501-776-4347 | |
Melissa Beth Duncan, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 5 Medical Park Dr, Suite 203, Benton, AR 72015 Phone: 501-315-7620 Fax: 501-315-7695 |