Dr Alban Ingram Miller Jr, | |
1708 Foxborough Ct, Champaign, IL 61822-8503 | |
(217) 369-9395 | |
(217) 369-9395 |
Full Name | Dr Alban Ingram Miller Jr |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 41 Years |
Location | 1708 Foxborough Ct, Champaign, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750892923 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | 036.079126 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ameriwound Physicians Il Llc | 2860616299 | 8 |
Entity Name | Ameriwound Physicians Il Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104245893 PECOS PAC ID: 2860616299 Enrollment ID: O20140605000079 |
Entity Name | Skyline Wound Care Midwest Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295445179 PECOS PAC ID: 1658738281 Enrollment ID: O20230613000812 |
Mailing Address | Practice Location Address |
---|---|
Dr Alban Ingram Miller Jr, 1708 Foxborough Ct, Champaign, IL 61822-8503 Ph: (217) 369-9395 | Dr Alban Ingram Miller Jr, 1708 Foxborough Ct, Champaign, IL 61822-8503 Ph: (217) 369-9395 |
Donna L Decamara, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1702 S Mattis Ave, Champaign, IL 61821 Phone: 217-326-2000 | |
Dr. Harry Reed Thompson Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 413 E University Ave, Champaign, IL 61820 Phone: 217-359-9601 Fax: 217-359-9609 | |
Dr. Paul Wetstein, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3105 Fields South Dr, Champaign, IL 61822 Phone: 217-383-3240 | |
Dr. Nirmal Gokarn, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3101 Fields South Dr, Champaign, IL 61822 Phone: 217-366-1228 Fax: 718-798-0730 | |
Mattie Arseneaux, Surgery Medicare: Not Enrolled in Medicare Practice Location: 3105 Fields South Dr, Champaign, IL 61822 Phone: 217-383-3240 | |
Daniel Suarez, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3105 Fields South Dr, Champaign, IL 61822 Phone: 217-902-2100 | |
Bethany Briggs, D.O. Surgery Medicare: Medicare Enrolled Practice Location: 3105 Fields South Dr, Champaign, IL 61822 Phone: 217-383-3240 |