Dr David L Miller, MD | |
105 S Major St, Eureka, IL 61530-1246 | |
(309) 467-4691 | |
(309) 467-6229 |
Full Name | Dr David L Miller |
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Gender | Male |
Speciality | Family Medicine |
Location | 105 S Major St, Eureka, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437178415 | NPI | - | NPPES |
10215111 | Other | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Illinois) | Primary |
Entity Name | Advocate Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Entity Name | Carle West Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
Mailing Address | Practice Location Address |
---|---|
Dr David L Miller, MD Po Box 2451, Bloomington, IL 61702-2451 Ph: (309) 268-2172 | Dr David L Miller, MD 105 S Major St, Eureka, IL 61530-1246 Ph: (309) 467-4691 |
Dr. Shane C. Fogo, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 105 S Major St, Eureka, IL 61530 Phone: 309-467-4691 | |
Dr. Christopher R. Hughes, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 105 S Major St, Eureka, IL 61530 Phone: 309-467-4691 Fax: 309-467-6229 | |
Nicholas Weber, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 S Major St, Eureka, IL 61530 Phone: 309-467-4691 | |
Dr. Steven K. Jones, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 105 S Major St, Eureka, IL 61530 Phone: 309-467-4691 Fax: 309-467-6229 | |
Dr. Keith E. Knepp, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 S Major St, Eureka, IL 61530 Phone: 309-467-4691 Fax: 309-467-6229 |