Keith L Miller, MD | |
7341 Gladiolus Dr, Fort Myers, FL 33908-5122 | |
(239) 489-3420 | |
(239) 489-3219 |
Full Name | Keith L Miller |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 39 Years |
Location | 7341 Gladiolus Dr, Fort Myers, Florida |
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 |
---|---|---|---|
1356348072 | NPI | - | NPPES |
01939 | Other | FL | UNIVERSAL HLTHCR. PROV. # |
01939 | Other | FL | UNV. HLTHCR. PROV. NUMBER |
15953 | Other | FL | WELLCARE |
592485899 | Other | FL | METCARE VENDOR ID # |
ME59278A | Other | FL | METCARE PROVIDER NUMBER |
1664782-005 | Other | FL | CIGNA PROVIDER NUMBER |
207227 | Other | FL | AMERIGROUP GROUP NUMBER |
269805600 | Medicaid | FL | |
4247093 | Other | FL | AETNA PROVIDER NUMBER |
12170 | Other | FL | BCBS PROVIDER NUMBER |
99885 | Other | FL | OP. ENG. LOC. 825 PROV. # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | ME0059278 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lee Memorial Hospital | Fort myers, FL | Hospital |
Cape Coral Hospital | Cape coral, FL | Hospital |
Gulf Coast Medical Center Lee Health | Fort myers, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Genesiscare Usa Of Florida Llc | 9830082882 | 237 |
Entity Name | Genesiscare Usa Of Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134109747 PECOS PAC ID: 9830082882 Enrollment ID: O20040204000663 |
Mailing Address | Practice Location Address |
---|---|
Keith L Miller, MD 2234 Colonial Blvd, Fort Myers, FL 33907-1412 Ph: (239) 931-7342 | Keith L Miller, MD 7341 Gladiolus Dr, Fort Myers, FL 33908-5122 Ph: (239) 489-3420 |
Stuart A Bobman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912 Phone: 239-936-2316 | |
Victor H Gregory, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 3680 Broadway, Fort Myers, FL 33901 Phone: 239-936-2316 | |
Dr. Mai F Saif, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 63 Barkley Cir, Ste. 100 & 101, Fort Myers, FL 33907 Phone: 239-938-3500 Fax: 239-278-0588 | |
Dr. Thomas Anderson Elkins, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912 Phone: 239-936-4068 Fax: 239-936-6989 | |
Mitchell Martinez, MD Radiology Medicare: Medicare Enrolled Practice Location: 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912 Phone: 239-936-2316 Fax: 239-834-6106 | |
Peter H. Blitzer, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7341 Gladiolus Dr, Fort Myers, FL 33908 Phone: 239-489-3420 Fax: 239-489-3219 | |
Dr. Michael J Weiss, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 63 Barkley Cir, Ste. 100 & 101, Fort Myers, FL 33907 Phone: 239-938-3500 Fax: 239-278-0588 |