Dr Kevin M Miller, MD | |
1328 22nd St, St. John's Anesthesia Department, Santa Monica, CA 90404-2032 | |
(818) 712-0598 | |
(818) 712-0598 |
Full Name | Dr Kevin M Miller |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 39 Years |
Location | 1328 22nd St, Santa Monica, California |
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 |
---|---|---|---|
1134156227 | NPI | - | NPPES |
00G586400 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | G58640 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ronald Reagan Ucla Medical Center | Los angeles, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bayside Anesthesia Medical Group | 2466490560 | 41 |
Entity Name | Bayside Anesthesia Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184668469 PECOS PAC ID: 2466490560 Enrollment ID: O20050419001522 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin M Miller, MD 1328 22nd St, St. John's Anesthesia Department, Santa Monica, CA 90404-2032 Ph: (818) 712-0598 | Dr Kevin M Miller, MD 1328 22nd St, St. John's Anesthesia Department, Santa Monica, CA 90404-2032 Ph: (818) 712-0598 |
Vivek Ram Vallurupalli, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 310-829-5511 | |
Dr. Daniel Sompoj Tongbai, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1245 16th St Ste 225, Santa Monica, CA 90404 Phone: 310-319-2241 Fax: 310-319-2263 | |
Dr. Sophie M. Andriaschuk, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1328 22nd St, Santa Monica, CA 90404 Phone: 310-829-8202 | |
Daniel Cherkassky, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2121 Santa Monica Blvd, Santa Monica, CA 90404 Phone: 650-823-8969 | |
Dr. David Asher Rakoff, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1328 22nd St, Santa Monica, CA 90404 Phone: 310-423-2056 Fax: 310-423-8232 | |
Mark S. Goh, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 1328 22nd St, Santa Monica, CA 90404 Phone: 310-829-8202 Fax: 310-829-8209 |