Abigail Rose Miller, | |
111 N 81st St, Belleville, IL 62223-2445 | |
(804) 543-5105 | |
Not Available |
Full Name | Abigail Rose Miller |
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Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 111 N 81st St, Belleville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1861103137 | NPI | - | NPPES |
Entity Name | Mercy Aco Clinical Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063965093 PECOS PAC ID: 6901188572 Enrollment ID: O20170117001888 |
Mailing Address | Practice Location Address |
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Abigail Rose Miller, 111 N 81st St, Belleville, IL 62223-2445 Ph: (804) 543-5105 | Abigail Rose Miller, 111 N 81st St, Belleville, IL 62223-2445 Ph: (804) 543-5105 |
Kelsey Beasley, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3060 Harvest Meadow Dr, Belleville, IL 62221 Phone: 618-792-8887 | |
Ms. Lauren Nicole Marshall, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-5455 Fax: 618-257-4490 | |
Mr. Lito T Rufin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220 | |
Cindy L. Auld, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr, Ste. 400, Belleville, IL 62226 Phone: 618-234-2390 Fax: 618-234-9936 | |
Pamela A O'neal, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Lincoln Place Ct, Belleville, IL 62221 Phone: 618-257-2029 Fax: 618-235-5371 | |
Mrs. Deanna L. Rodenberg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4550 Memorial Dr, Ste. 340, Belleville, IL 62226 Phone: 618-257-6200 Fax: 618-257-6679 | |
Katherine Ann Combs, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4700 Memorial Dr Ste 250, Belleville, IL 62226 Phone: 618-212-6560 |