Dr Isaac David Miller, MD | |
908 Wallace Ave, Leitchfield, KY 42754-1479 | |
(270) 230-0124 | |
(270) 230-0157 |
Full Name | Dr Isaac David Miller |
---|---|
Gender | Male |
Speciality | Sports Medicine |
Experience | 12 Years |
Location | 908 Wallace Ave, Leitchfield, Kentucky |
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 |
---|---|---|---|
1134488539 | NPI | - | NPPES |
7100422810 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | MD.34424 (Alabama) | Secondary |
207QS0010X | Family Medicine - Sports Medicine | 49328 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Twin Lakes Regional Medical Center | Leitchfield, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pt Pros, Inc | 0143139337 | 128 |
Owensboro Health Medical Group Inc | 0648255034 | 357 |
Entity Name | Twin Lakes Medical Foundation Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205870862 PECOS PAC ID: 3971591850 Enrollment ID: O20040501000241 |
Entity Name | Owensboro Health Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235518242 PECOS PAC ID: 0648255034 Enrollment ID: O20040621000818 |
Mailing Address | Practice Location Address |
---|---|
Dr Isaac David Miller, MD 908 Wallace Ave, Leitchfield, KY 42754-1479 Ph: (270) 230-0124 | Dr Isaac David Miller, MD 908 Wallace Ave, Leitchfield, KY 42754-1479 Ph: (270) 230-0124 |
Kenneth E Green, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1895 Elizabethtown Rd, Leitchfield, KY 42754 Phone: 270-230-0182 Fax: 270-230-0014 | |
Ray J Begay, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 Mill St, Leitchfield, KY 42754 Phone: 270-259-0352 Fax: 270-287-0157 | |
Dr. Charles D Jarboe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 912 Wallace Ave, Suite 103, Leitchfield, KY 42754 Phone: 270-230-8200 Fax: 270-230-0882 | |
Dr. Ivan Alexander Escudero, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 912 Wallace Ave Ste 102, Leitchfield, KY 42754 Phone: 270-259-8888 Fax: 270-259-8887 | |
Dr. Gay Fulkerson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 S Main St, Leitchfield, KY 42754 Phone: 270-259-9633 Fax: 270-259-0061 |