Tiffany M Mills, DO | |
1709 Ky Route 321, Suite 3, Prestonsburg, KY 41653-9097 | |
(606) 886-8546 | |
(606) 886-8548 |
Full Name | Tiffany M Mills |
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Gender | Female |
Speciality | Pediatrics |
Location | 1709 Ky Route 321, Prestonsburg, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285848341 | NPI | - | NPPES |
7100057340 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 03128 (Kentucky) | Primary |
Entity Name | Highlands Hospital Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194818138 PECOS PAC ID: 1557251261 Enrollment ID: O20040317000560 |
Entity Name | Big Sandy Health Care, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104055805 PECOS PAC ID: 1951211218 Enrollment ID: O20040510000841 |
Mailing Address | Practice Location Address |
---|---|
Tiffany M Mills, DO 1709 Ky Route 321, Suite 3, Prestonsburg, KY 41653-9097 Ph: (606) 886-8546 | Tiffany M Mills, DO 1709 Ky Route 321, Suite 3, Prestonsburg, KY 41653-9097 Ph: (606) 886-8546 |
Kristy Kate Shutts, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4851 Ky Route 321, Prestonsburg, KY 41653 Phone: 606-886-1173 Fax: 606-886-2193 | |
Dr. Antoin Hana, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4851 Ky Route 321, Prestonsburg, KY 41653 Phone: 606-886-1173 Fax: 606-886-2193 | |
Mr. Mazen Jaafar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5000 Ky Route 321 Ste 3124, Prestonsburg, KY 41653 Phone: 606-886-7635 Fax: 606-886-7680 | |
Dr. Rakesh Sachdeva, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 104 S Front Ave, Prestonsburg, KY 41653 Phone: 606-886-8572 Fax: 606-886-4433 |