Kevin L Miller, MD | |
700 San Gabriel Village Blvd, Ste 105, Georgetown, TX 78626-5594 | |
(512) 819-9910 | |
(512) 819-9970 |
Full Name | Kevin L Miller |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 26 Years |
Location | 700 San Gabriel Village Blvd, Georgetown, Texas |
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 |
---|---|---|---|
1821059395 | NPI | - | NPPES |
7524367 | Other | TX | AETNA ID |
0034KL | Other | TX | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | L1393 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oliver Street 5.01(a) Inc | 0042464125 | 144 |
Entity Name | Oliver Street 5.01(a) Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457695413 PECOS PAC ID: 0042464125 Enrollment ID: O20130128000189 |
Mailing Address | Practice Location Address |
---|---|
Kevin L Miller, MD 700 San Gabriel Village Blvd, Ste 105, Georgetown, TX 78626-5594 Ph: (512) 819-9910 | Kevin L Miller, MD 700 San Gabriel Village Blvd, Ste 105, Georgetown, TX 78626-5594 Ph: (512) 819-9910 |
Christopher Jones Jr., M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3010 Williams Dr, Suite 177, Georgetown, TX 78628 Phone: 512-930-3909 Fax: 512-240-5469 | |
Dr. Mary A Evers, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1900 Scenic Dr Ste 2208, Georgetown, TX 78626 Phone: 512-868-9800 Fax: 512-868-9811 | |
Elaine Otchere, MD Dermatology Medicare: Medicare Enrolled Practice Location: 4513 Williams Dr, Georgetown, TX 78633 Phone: 512-930-3909 Fax: 512-869-5868 | |
Eric A Adelman, D.O. Dermatology Medicare: Medicare Enrolled Practice Location: 4513 Williams Dr, Georgetown, TX 78633 Phone: 512-930-3909 Fax: 512-869-5868 | |
Elizabeth Cabrera, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4513 Williams Dr, Georgetown, TX 78633 Phone: 512-930-3909 Fax: 512-869-5868 | |
Dr. Eugen Stancut, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1900 Scenic Dr Ste 2208, Georgetown, TX 78626 Phone: 512-868-9800 Fax: 512-868-9811 | |
Dr. Jean Elizze Mabute Charles, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4235 Williams Dr, Georgetown, TX 78628 Phone: 512-279-3376 Fax: 512-666-3244 |