Lori Beth Milliron, CPNP | |
1516 Yankee Park Pl, Dayton, OH 45458-1878 | |
(937) 438-1115 | |
(937) 438-1291 |
Full Name | Lori Beth Milliron |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 1516 Yankee Park Pl, Dayton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043410830 | NPI | - | NPPES |
000000722789 | Other | OH | BCBS OHIO |
9760718 | Other | OH | AETNA |
0053983 | Medicaid | OH | |
421534506178 | Other | OH | CARESOURCE OHIO |
1043410830 | Other | OH | MEDICAL MUTUAL OF OHIO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | RN.315948 (Ohio) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | COA 09845NP (Ohio) | Primary |
Entity Name | Providence Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972533149 PECOS PAC ID: 2860386349 Enrollment ID: O20040215000006 |
Mailing Address | Practice Location Address |
---|---|
Lori Beth Milliron, CPNP 2912 Springboro W, Suite 201, Moraine, OH 45439-1674 Ph: (937) 297-8999 | Lori Beth Milliron, CPNP 1516 Yankee Park Pl, Dayton, OH 45458-1878 Ph: (937) 438-1115 |
David Lee Evers, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 122 Wyoming St, Dayton, OH 45409 Phone: 937-223-4461 Fax: 937-449-7603 | |
Kimberly Kay Myers, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 W Elmwood Dr, Suite 1000, Dayton, OH 45459 Phone: 937-224-8200 Fax: 937-224-1770 | |
Joni Abramczyk, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1550 Yankee Park Pl, Dayton, OH 45458 Phone: 937-439-4949 | |
Angela Marie Thompson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7677 Yankee St Ste 110, Dayton, OH 45459 Phone: 800-824-9861 | |
Rosanne Cecilia Jones, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-4000 Fax: 937-641-4500 | |
Kimberly Wade Young, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8120 Garnet Dr, Dayton, OH 45458 Phone: 833-510-4357 | |
Mr. Kenneth Levi Moore Iii, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5981 Far Hills Ave, Dayton, OH 45429 Phone: 937-438-5954 |