Jan Marie Miller, RD | |
3401 W Gore Blvd, Lawton, OK 73505-6332 | |
(580) 585-5554 | |
(580) 355-5893 |
Full Name | Jan Marie Miller |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 36 Years |
Location | 3401 W Gore Blvd, Lawton, Oklahoma |
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 |
---|---|---|---|
1245452002 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133VN1006X | Dietitian, Registered - Nutrition, Metabolic | LD 574 (Oklahoma) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Comanche County Hospital Authority | 2668373689 | 51 |
Provider Name | Comanche County Hospital Authority |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588832869 PECOS PAC ID: 2668373689 Enrollment ID: O20140602001702 |
Mailing Address | Practice Location Address |
---|---|
Jan Marie Miller, RD 3401 W Gore Blvd, Lawton, OK 73505-6332 Ph: (580) 585-5554 | Jan Marie Miller, RD 3401 W Gore Blvd, Lawton, OK 73505-6332 Ph: (580) 585-5554 |
Jamika Alise Smith, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3501 E Gore Blvd Apt 221, Lawton, OK 73501 Phone: 804-704-2966 | |
Ms. Bandy Jo Rackley, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 5110 W Gore Blvd, Lawton, OK 73505 Phone: 580-713-3123 | |
Amber Dawn Felty, RDN/LD Dietitian Medicare: Medicare Enrolled Practice Location: 4006 Ne Realtree Dr, Lawton, OK 73507 Phone: 580-215-9465 | |
Mrs. Teresa Susanne Scarbrough, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8699 Fax: 580-585-5461 | |
Mrs. Jo Ann Holland, R.D., L.D.,C.D.E. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507 Phone: 580-354-5240 Fax: 580-354-5105 | |
Mnt Diabetes Services Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3201 W Gore Blvd, Suite 103, Lawton, OK 73505 Phone: 580-250-6407 Fax: 580-355-5893 |