Malissa Miller, NURSE PRACTITIONER | |
107 N Main St Ste 2a, Columbia, IL 62236-1757 | |
(618) 693-9313 | |
Not Available |
Full Name | Malissa Miller |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 107 N Main St Ste 2a, Columbia, 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 |
---|---|---|---|
1285113217 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 277002437 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Our Urgent Care Llc | 5799782496 | 3 |
Entity Name | Specialized Wound Management Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962430157 PECOS PAC ID: 4284628173 Enrollment ID: O20040413001407 |
Entity Name | Our Urgent Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902815863 PECOS PAC ID: 5799782496 Enrollment ID: O20061020000531 |
Mailing Address | Practice Location Address |
---|---|
Malissa Miller, NURSE PRACTITIONER 107 N Main St Ste 2a, Columbia, IL 62236-1757 Ph: (618) 693-9313 | Malissa Miller, NURSE PRACTITIONER 107 N Main St Ste 2a, Columbia, IL 62236-1757 Ph: (618) 693-9313 |
Mrs. Suan Marie Rachels, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 220 Wenkel St, Columbia, IL 62236 Phone: 618-444-5455 | |
Mrs. Tina Louise Valentine, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 421 S Main St, Columbia, IL 62236 Phone: 618-281-7151 | |
Dana M Grosch, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Admiral Trost Rd Ste 1a, Columbia, IL 62236 Phone: 618-281-7373 Fax: 618-281-6463 | |
Jordan Priebe, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Eleven S, Suite 1a, Columbia, IL 62236 Phone: 618-281-8400 | |
Miss Jennifer Ann Bergmann-krause, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Eleven S Ste 4a, Columbia, IL 62236 Phone: 618-206-6120 Fax: 618-206-6119 | |
Hannah M Hanebrink, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 Admiral Trost Rd Ste 1a, Columbia, IL 62236 Phone: 618-281-7373 |