Dr Leanne M Miller, MD | |
2002 S 11th St, Niles, MI 49120-4074 | |
(269) 684-0200 | |
(269) 684-0199 |
Full Name | Dr Leanne M Miller |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 2002 S 11th St, Niles, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326077744 | NPI | - | NPPES |
4751463 | Medicaid | MI | |
3501110751 | Other | MI | BLUE CROSS PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 4301085110 (Michigan) | Primary |
Entity Name | Lakeland Community Hospital Watervliet |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023114741 PECOS PAC ID: 7416942750 Enrollment ID: O20040416000984 |
Entity Name | Lakeland Medical Practices |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
Entity Name | Lakeland Community Hospital Watervliet |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538592753 PECOS PAC ID: 7416942750 Enrollment ID: O20131029002202 |
Mailing Address | Practice Location Address |
---|---|
Dr Leanne M Miller, MD 6416 Deans Hill Rd, Berrien Center, MI 49102-9750 Ph: (269) 471-7741 | Dr Leanne M Miller, MD 2002 S 11th St, Niles, MI 49120-4074 Ph: (269) 684-0200 |
Dr. Lois G Lello, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2002 S 11th St, Niles, MI 49120 Phone: 269-687-0200 Fax: 269-684-0199 | |
Dr. Christopher J Harvey, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2002 S 11th St, Niles, MI 49120 Phone: 269-687-0200 Fax: 269-684-0199 | |
Sunil John, Pediatrics Medicare: Medicare Enrolled Practice Location: 2002 S 11th St, Niles, MI 49120 Phone: 269-687-0200 | |
Aileen Jo Vitangcol, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2002 S 11th St, Niles, MI 49120 Phone: 269-687-0200 Fax: 269-684-0199 | |
Lee Morris, Pediatrics Medicare: Medicare Enrolled Practice Location: 31 N Saint Joseph Ave, Niles, MI 49120 Phone: 269-985-4632 |