Mark Douglas Miller, MD | |
1718 S Henderson Blvd, Kilgore, TX 75662-3553 | |
(903) 983-2110 | |
Not Available |
Full Name | Mark Douglas Miller |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 32 Years |
Location | 1718 S Henderson Blvd, Kilgore, 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 |
---|---|---|---|
1609840388 | NPI | - | NPPES |
124882506 | Medicaid | TX | |
124882502 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | J3705 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Christus Mother Frances Hospital | Tyler, TX | Hospital |
Christus Good Shepherd Medical Center | Longview, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
East Texas Treatment Center | 0244253854 | 38 |
Christus Trinity Clinic | 3072426741 | 1217 |
Entity Name | Christus Trinity Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091 |
Entity Name | Mother Frances Hospital Jacksonville |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092 |
Entity Name | Mother Frances Hospital Regional Health Care Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679578439 PECOS PAC ID: 9234025636 Enrollment ID: O20040610001042 |
Mailing Address | Practice Location Address |
---|---|
Mark Douglas Miller, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6450 | Mark Douglas Miller, MD 1718 S Henderson Blvd, Kilgore, TX 75662-3553 Ph: (903) 983-2110 |
Jason Kelly Brockway, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1718 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-983-2110 | |
Kimberly Nicole Page, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1718 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-983-2110 | |
Justin Levon Du, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1718 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-983-2110 | |
John K. Wolcott, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5174 Fm 1252 W, Kilgore, TX 75662 Phone: 903-986-1901 Fax: 903-984-6151 | |
Clark Wynn Langley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1718 S Henderson Blvd, #8, Kilgore, TX 75662 Phone: 903-983-2110 | |
Dr. James E Repasky, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1718 S Henderson Blvd, #7, Kilgore, TX 75662 Phone: 903-983-2110 |