Lisa D Miller, MD | |
910 Wallace Ave, Leitchfield, KY 42754 | |
(270) 259-9651 | |
(270) 259-0346 |
Full Name | Lisa D Miller |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 910 Wallace Ave, Leitchfield, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538154687 | NPI | - | NPPES |
7100181130 | Medicaid | KY | |
3866106 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 44680 (Kentucky) | Primary |
207R00000X | Internal Medicine | 35596 (Tennessee) | Secondary |
Entity Name | Twin Lakes Medical Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205870862 PECOS PAC ID: 3971591850 Enrollment ID: O20040501000241 |
Mailing Address | Practice Location Address |
---|---|
Lisa D Miller, MD 908 Wallace Ave, Leitchfield, KY 42754-1479 Ph: (270) 259-9651 | Lisa D Miller, MD 910 Wallace Ave, Leitchfield, KY 42754 Ph: (270) 259-9651 |
Gregory Gordon Skaggs, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 910 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9651 Fax: 270-259-9582 | |
Priyank Chauhan, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 910 Wallace Ave, Leitchfield, KY 42754 Phone: 207-259-9555 Fax: 270-259-1669 | |
Dr. Ehsan Qadir, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 Wallace Ave., Leitchfield, KY 42754 Phone: 270-259-1656 Fax: 270-259-9536 | |
Dr. Kathryn Terri Knutson Shufelt, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 910 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9555 Fax: 270-259-1669 | |
Andrew William Jenkins, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9400 | |
Craig Arby Johnson, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 912 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9316 Fax: 270-259-6571 | |
Dr. Hani A Bleibel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 Wallace Ave, Leitchfield, KY 42754 Phone: 270-259-9316 Fax: 270-230-0293 |