Pamela Dotson Miller, FNP C | |
513 Brookdale Drive, Statesville, NC 28677 | |
(704) 872-0174 | |
(704) 872-0176 |
Full Name | Pamela Dotson Miller |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 513 Brookdale Drive, Statesville, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598852287 | NPI | - | NPPES |
59036 | Other | NC | BCBS |
8959036 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 201789 (North Carolina) | Primary |
Entity Name | Miller Family Practice Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225134166 PECOS PAC ID: 0648264341 Enrollment ID: O20040414000930 |
Mailing Address | Practice Location Address |
---|---|
Pamela Dotson Miller, FNP C 513 Brookdale Drive, Statesville, NC 28677 Ph: (704) 872-0174 | Pamela Dotson Miller, FNP C 513 Brookdale Drive, Statesville, NC 28677 Ph: (704) 872-0174 |
Tanya Kapp Maxwell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1818 Davie Ave, Statesville, NC 28677 Phone: 704-873-1036 Fax: 704-873-1058 | |
Mrs. Laurie A Edwards, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 178 Turnersburg Hwy, Minute Clinic, Statesville, NC 28625 Phone: 704-872-6355 Fax: 401-652-9787 | |
Cecilia Kaechele, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 557 Brookdale Dr, Statesville, NC 28677 Phone: 704-997-5525 Fax: 704-997-5531 | |
Kelly Dawkins Bumgardner, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 633 Brookdale Dr Ste 100, Statesville, NC 28677 Phone: 704-873-7850 | |
Rachel Danielle Stanley, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 536 Signal Hill Drive Ext, Statesville, NC 28625 Phone: 704-872-0234 | |
Lisa Vang, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 178 Turnersburg Hwy, Statesville, NC 28625 Phone: 704-872-6355 | |
Ms. Judy Lackey Keighron, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 308c Mocksville Hwy, Statesville, NC 28625 Phone: 704-873-4484 Fax: 704-873-4485 |