Dr Mark Leland Miller, MD | |
1 Childrens Pl, Ste 1b, Saint Louis, MO 63110-1002 | |
(314) 454-6062 | |
(314) 454-5054 |
Full Name | Dr Mark Leland Miller |
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Gender | Male |
Speciality | Orthopaedic Surgery - Pediatric Orthopaedic Surgery |
Location | 1 Childrens Pl, Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053576215 | NPI | - | NPPES |
200013888 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | 2013003538 (Missouri) | Primary |
Entity Name | Washington University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679516033 PECOS PAC ID: 9830008770 Enrollment ID: O20040420000704 |
Entity Name | Shriners Hospitals For Children |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275970295 PECOS PAC ID: 9133031933 Enrollment ID: O20140527001473 |
Mailing Address | Practice Location Address |
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Dr Mark Leland Miller, MD Po Box 60352, Saint Louis, MO 63160-0352 Ph: (314) 454-6062 | Dr Mark Leland Miller, MD 1 Childrens Pl, Ste 1b, Saint Louis, MO 63110-1002 Ph: (314) 454-6062 |
Nathan M Fisher, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 12639 Old Tesson Rd Ste 115, Saint Louis, MO 63128 Phone: 314-849-0311 Fax: 314-849-4423 | |
Dr. Wassim Mourad, MD, MHCM Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1008 S Spring Ave Rm 1114, Saint Louis, MO 63110 Phone: 314-977-4102 | |
Dr. David William Barton, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110 Phone: 314-747-2551 Fax: 314-747-2598 | |
Dr. Moneer Moustafa Abouljoud, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-747-2835 | |
Dr. Brian Adams Kelly, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110 Phone: 314-747-2551 Fax: 314-747-2598 | |
Thomas John Revak, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1008 South Spring Avenue, Orthopaedic Surgery, Slucare Administrative Pavillion F, Saint Louis, MO 63110 Phone: 314-977-5350 | |
Dr. Nicholas Andrew Pallotta, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4921 Parkview Pl, Dept Orthopaedic Surgery, Ste 6a/6b/12a, Saint Louis, MO 63110 Phone: 314-747-2551 Fax: 314-747-2598 |