Mr Douglas Dean Miller, MSN, FNP | |
1014 Elm Ave, Rocky Ford, CO 81067-1328 | |
(719) 254-7421 | |
(719) 254-6966 |
Full Name | Mr Douglas Dean Miller |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 27 Years |
Location | 1014 Elm Ave, Rocky Ford, Colorado |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902899073 | NPI | - | NPPES |
70077371 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 106502, RXN, NP (Colorado) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Arkansas Valley Regional Medical Center | La junta, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiant Healthcare, Llc | 6406229038 | 5 |
Entity Name | Meadows Family Medical Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962440412 PECOS PAC ID: 0446151617 Enrollment ID: O20040120000416 |
Entity Name | Rocky Ford Family Health Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508932757 PECOS PAC ID: 6002726114 Enrollment ID: O20040313000798 |
Entity Name | Radiant Healthcare, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659003200 PECOS PAC ID: 6406229038 Enrollment ID: O20230810001876 |
Mailing Address | Practice Location Address |
---|---|
Mr Douglas Dean Miller, MSN, FNP 1014 Elm Ave, Rocky Ford, CO 81067-1328 Ph: (719) 254-7421 | Mr Douglas Dean Miller, MSN, FNP 1014 Elm Ave, Rocky Ford, CO 81067-1328 Ph: (719) 254-7421 |
Mrs. Heather A Elliott, MSN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1014 Elm Ave, Rocky Ford, CO 81067 Phone: 719-254-7421 Fax: 719-254-6966 | |
Jenna White, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26433 Cr Gg, Rocky Ford, CO 81067 Phone: 719-999-9999 | |
Emily Rose Garcia, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1016 Elm Ave, Rocky Ford, CO 81067 Phone: 719-383-6113 | |
Sariah Anne Berg, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1014 Elm Ave, Rocky Ford, CO 81067 Phone: 719-254-7421 Fax: 833-630-1108 |