| Miller Family Practice Pc | |
|
513 Brookdale Drive Statesville NC 28677 | |
| (704) 872-0174 | |
| (704) 872-0176 |
| Full Name | Miller Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 513 Brookdale Drive, Statesville, North Carolina |
| Authorized Official Name and Position | Michael Ray Miller (OWNER) |
| Authorized Official Contact | 7048720174 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miller Family Practice Pc 513 Brookdale Drive Statesville NC 28677 Ph: (704) 872-0174 | Miller Family Practice Pc 513 Brookdale Drive Statesville NC 28677 Ph: (704) 872-0174 |
| NPI Number | 1225134166 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 0648264341 |
|---|---|
| Medicare Enrollment ID | O20040414000930 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225134166 | NPI | - | NPPES |
| 8959036 | Medicaid | NC | |
| 59036 | Other | NC | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 117782 (North Carolina) | Primary |
| Provider Name | Michael R Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609963396 PECOS PAC ID: 6507850112 Enrollment ID: I20040420001744 |
| Provider Name | Pamela D Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598852287 PECOS PAC ID: 1052608973 Enrollment ID: I20160921000539 |
Piedmont Healthcare, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 533 Brookdale Dr, Statesville, NC 28677 Phone: 704-838-8249 Fax: 704-495-3057 | |
Nuvu Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 611 Sullivan Rd, Statesville, NC 28677 Phone: 980-434-5426 | |
Sound Physicians Of North Carolina Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 Old Mocksville Rd, Statesville, NC 28625 Phone: 704-873-0281 Fax: 704-838-7287 | |
Piedmont Healthcare, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 705 Gaither Rd, Statesville, NC 28625 Phone: 704-871-1155 Fax: 704-872-2484 | |
Statesville Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 Davie Ave, Statesville, NC 28677 Phone: 704-873-3269 Fax: 704-871-8159 | |
Novant Health Primary Care Fern Creek Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1410 Fern Creek Dr, Statesville, NC 28625 Phone: 704-978-2250 Fax: 704-978-2258 | |
Cuong Tan Doan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 557 Brookdale Dr, Statesville, NC 28677 Phone: 800-409-2919 |