Jared A Miller, MD | |
138 N Dixon Rd, Kokomo, IN 46901-4154 | |
(765) 236-8282 | |
Not Available |
Full Name | Jared A Miller |
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Gender | Male |
Speciality | Pediatrics |
Location | 138 N Dixon Rd, Kokomo, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275876310 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2080S0010X | Pediatrics - Sports Medicine | 01079512A (Indiana) | Secondary |
208000000X | Pediatrics | 01079512A (Indiana) | Primary |
Entity Name | St Vincent Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045 |
Mailing Address | Practice Location Address |
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Jared A Miller, MD 138 N Dixon Rd, Kokomo, IN 46901-4154 Ph: () - | Jared A Miller, MD 138 N Dixon Rd, Kokomo, IN 46901-4154 Ph: (765) 236-8282 |
Jeniffer Forson, Pediatrics Medicare: Medicare Enrolled Practice Location: 3611 S Reed Rd Ste 108, Kokomo, IN 46902 Phone: 765-776-3700 | |
Dr. Samatha Madhavarapu, M.D., Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3118 S Lafountain St, Kokomo, IN 46902 Phone: 765-864-4160 | |
Dana Y Stewart, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 317-583-3332 Fax: 317-583-2805 | |
Dr. Benjamin F Weston, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2130 W Sycamore St Ste 260, Kokomo, IN 46901 Phone: 765-236-8457 | |
Mohanjit Gill, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3506 S Lafountain St, Kokomo, IN 46902 Phone: 765-864-6700 Fax: 765-864-6703 | |
Craig Pawlowski, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3611 S Reed Rd Ste 108, Kokomo, IN 46902 Phone: 765-776-3700 Fax: 765-453-8191 |