| Dr Brett Miles, MD, DDS | |
|
130 East 77th St, Black Hall, 10th Floor, New York, NY 10075 | |
| (212) 434-4500 | |
| Not Available |
| Full Name | Dr Brett Miles |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 24 Years |
| Location | 130 East 77th St, New York, New York |
| 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 |
|---|---|---|---|
| 1972712842 | NPI | - | NPPES |
| 176986101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 19693 (Texas) | Secondary |
| 207Y00000X | Otolaryngology | 256745-1 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Shore Home Care Chha | Westbury, NY | Home health agency |
| Lenox Hill Hospital | New york, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lenox Hill Hospital Medical Pc | 7012188568 | 30 |
| North Shore-lij Medical Pc | 3375701568 | 6327 |
| Entity Name | Lenox Hill Hospital Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326328188 PECOS PAC ID: 7012188568 Enrollment ID: O20110914000342 |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Entity Name | Icahn School Of Medicine At Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275802811 PECOS PAC ID: 2264691070 Enrollment ID: O20120315000035 |
| Entity Name | Icahn School Of Medicine At Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609120674 PECOS PAC ID: 8224282926 Enrollment ID: O20130205000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brett Miles, MD, DDS 130 East 77th Street, Black Hall, 10th Floor, New York, NY 10075 Ph: (212) 434-4500 | Dr Brett Miles, MD, DDS 130 East 77th St, Black Hall, 10th Floor, New York, NY 10075 Ph: (212) 434-4500 |