Dr Richard Stayton Miles, MD | |
124 Dowell Rd, Russell Springs, KY 42642-4278 | |
(270) 866-2440 | |
(270) 866-2442 |
Full Name | Dr Richard Stayton Miles |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 124 Dowell Rd, Russell Springs, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235188772 | NPI | - | NPPES |
080189178 | Other | PALMETTO GBA RR MEDICARE | |
0000000047852 | Other | ANTHEM BCBS | |
64197007 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 19700 (Kentucky) | Primary |
Entity Name | Russell County Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437245842 PECOS PAC ID: 6204887243 Enrollment ID: O20050217000172 |
Mailing Address | Practice Location Address |
---|---|
Dr Richard Stayton Miles, MD 124 Dowell Rd, Russell Springs, KY 42642-4278 Ph: (270) 866-2440 | Dr Richard Stayton Miles, MD 124 Dowell Rd, Russell Springs, KY 42642-4278 Ph: (270) 866-2440 |
Alyssa L Kozacek, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 404 Steve Drive, Russell Springs, KY 42642 Phone: 270-866-3161 Fax: 270-866-3163 | |
Dr. Miles Kenton Gibson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 92 Joe T Petty Dr, Suite 300, Russell Springs, KY 42642 Phone: 270-866-7066 Fax: 270-866-7068 | |
Liesel C Grentz, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 124 Dowell Rd, Russell Springs, KY 42642 Phone: 270-866-2440 Fax: 270-866-2442 | |
Dr. Macon Samuel Bradley, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 153 Dowell Rd, Russell Springs, KY 42642 Phone: 270-866-4141 | |
Leann Dalton Cooper, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 124 Dowell Rd, Russell Springs, KY 42642 Phone: 270-866-2440 Fax: 270-866-2442 |