Angela C Miller, MD | |
515 22nd Ave, Monroe, WI 53566-1569 | |
(608) 324-2000 | |
Not Available |
Full Name | Angela C Miller |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 515 22nd Ave, Monroe, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285738757 | NPI | - | NPPES |
390808509 | Other | WPS | |
10887 | Other | DEAN HEALTH PLAN | |
31715500 | Other | HIRSP | |
690004890 | Other | MEDICARE RAILROAD | |
L90543 | Other | MEDICARE | |
370004380 | Other | MEDICARE RAILROAD | |
390808509 | Other | CT GENERAL | |
39080850911 | Other | UNITY | |
90002361 | Other | WEA INS | |
31715500 | Medicaid | WI | |
1000258 | Other | PHYSICIANS PLUS | |
390808509 | Other | CIGNA | |
390808509AD | Other | UNITY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 036-092497 (Illinois) | Secondary |
208000000X | Pediatrics | 32036 (Wisconsin) | Primary |
Entity Name | The Monroe Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386720548 PECOS PAC ID: 3072425495 Enrollment ID: O20031104000392 |
Mailing Address | Practice Location Address |
---|---|
Angela C Miller, MD 515 22nd Ave, Monroe, WI 53566-1569 Ph: (608) 324-2000 | Angela C Miller, MD 515 22nd Ave, Monroe, WI 53566-1569 Ph: (608) 324-2000 |
Julan M. Crane, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 515 22nd Ave, Monroe, WI 53566 Phone: 608-324-2000 | |
Bruce K Duemler, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 515 22nd Ave, Monroe, WI 53566 Phone: 608-324-2000 | |
Amy L Johnson, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 515 22nd Ave, Monroe, WI 53566 Phone: 608-324-2000 | |
Heather Reichert, Pediatrics Medicare: Medicare Enrolled Practice Location: 515 22nd Ave, Monroe, WI 53566 Phone: 608-324-2648 | |
John P. Frey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 515 22nd Ave, Monroe, WI 53566 Phone: 608-324-2000 |