Courtney Stanford Miller, NP | |
20060 Governors Dr, Suite 102, Olympia Fields, IL 60461-1029 | |
(815) 824-4406 | |
Not Available |
Full Name | Courtney Stanford Miller |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 20060 Governors Dr, Olympia Fields, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629435060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209013548 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 4704276415 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Beaumont Medical Group- Specialty Services | 7214299866 | 781 |
Entity Name | Beaumont Medical Group Hospital Based Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
Entity Name | Beaumont Medical Group- Specialty Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
Mailing Address | Practice Location Address |
---|---|
Courtney Stanford Miller, NP 26901 Beaumont Boulevard, Ste 3d, Southfield, MI 48033-3849 Ph: (947) 522-1866 | Courtney Stanford Miller, NP 20060 Governors Dr, Suite 102, Olympia Fields, IL 60461-1029 Ph: (815) 824-4406 |
Nicole Bindl, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3800 W 203rd St Ste 204, Olympia Fields, IL 60461 Phone: 708-852-2641 Fax: 708-503-3260 | |
Candice L Chambers, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4001 Vollmer Rd, Olympia Fields, IL 60461 Phone: 708-481-8883 Fax: 708-481-2917 | |
Rhonda Renae Pettaway Ansier, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 W 203rd St Ste 110, Olympia Fields, IL 60461 Phone: 708-679-1890 | |
Larina Branch, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 W 203rd St Ste 301, Olympia Fields, IL 60461 Phone: 708-679-2850 Fax: 708-503-3816 | |
Megan Gac, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 W 203rd St Ste 302, Olympia Fields, IL 60461 Phone: 708-679-2518 Fax: 708-679-2519 | |
Ms. Anna C. Davies, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3800 W 203rd St Ste 204, Olympia Fields, IL 60461 Phone: 708-679-2380 Fax: 708-503-3260 | |
Mrs. Andrea Cashman Duerinck, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3800 W 203rd St Ste 202, Olympia Fields, IL 60461 Phone: 708-679-2660 Fax: 708-503-3860 |