Dr Debra R Miller, MD | |
53 Granite St, New London, CT 06320-5917 | |
(860) 447-1419 | |
(860) 442-2604 |
Full Name | Dr Debra R Miller |
---|---|
Gender | Female |
Speciality | Dermatology |
Experience | 37 Years |
Location | 53 Granite St, New London, Connecticut |
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 |
---|---|---|---|
1558369215 | NPI | - | NPPES |
001361691 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 036169 (Connecticut) | Primary |
207NS0135X | Dermatology - Procedural Dermatology | 036169 (Connecticut) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Lawrence & Memorial Hospital | New london, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Connecticut Dermatology Group Pllc | 9032147509 | 15 |
Entity Name | The Connecticut Dermatology Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699881557 PECOS PAC ID: 9032147509 Enrollment ID: O20050727000568 |
Entity Name | Debra R Miller Md Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619206034 PECOS PAC ID: 8123161270 Enrollment ID: O20100211000385 |
Mailing Address | Practice Location Address |
---|---|
Dr Debra R Miller, MD 53 Granite St, New London, CT 06320-5917 Ph: (860) 447-1419 | Dr Debra R Miller, MD 53 Granite St, New London, CT 06320-5917 Ph: (860) 447-1419 |
Dr. Mohsin Kamal Malik, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6 Shaws Cv Ste 204, New London, CT 06320 Phone: 860-440-3744 Fax: 860-440-3718 | |
Ms. Brianna Perry, PA-C Dermatology Medicare: Medicare Enrolled Practice Location: 53 Granite Street, Suite D, New London, CT 06320 Phone: 860-447-1419 |