| Jan Marie Miller, RD | |
|
3401 W Gore Blvd, Lawton, OK 73505-6332 | |
| (580) 585-5554 | |
| (580) 355-5893 |
| Full Name | Jan Marie Miller |
|---|---|
| Gender | Female |
| Speciality | Registered Dietitian Or Nutrition Professional |
| Experience | 38 Years |
| Location | 3401 W Gore Blvd, Lawton, Oklahoma |
| 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 |
|---|---|---|---|
| 1245452002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1006X | Dietitian, Registered - Nutrition, Metabolic | LD 574 (Oklahoma) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Comanche County Hospital Authority | 2668373689 | 50 |
| Provider Name | Comanche County Hospital Authority |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588832869 PECOS PAC ID: 2668373689 Enrollment ID: O20140602001702 |
| Mailing Address | Practice Location Address |
|---|---|
| Jan Marie Miller, RD 3401 W Gore Blvd, Lawton, OK 73505-6332 Ph: (580) 585-5554 | Jan Marie Miller, RD 3401 W Gore Blvd, Lawton, OK 73505-6332 Ph: (580) 585-5554 |
Ms. Bandy Jo Rackley, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5110 W Gore Blvd, Lawton, OK 73505 Phone: 580-713-3123 | |
Amber Dawn Felty, RDN/LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 4006 Ne Realtree Dr, Lawton, OK 73507 Phone: 580-215-9465 | |
Mrs. Teresa Susanne Scarbrough, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3401 W Gore Blvd, Lawton, OK 73505 Phone: 580-355-8699 Fax: 580-585-5461 | |
Mrs. Jo Ann Holland, R.D., L.D.,C.D.E. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507 Phone: 580-354-5240 Fax: 580-354-5105 | |
Comanche County Healthcare Corp Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3201 W Gore Blvd, Suite 103, Lawton, OK 73505 Phone: 580-250-6407 Fax: 580-355-5893 | |
Lauren Hickman, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1010 Sw Sheridan Rd, Lawton, OK 73505 Phone: 580-248-5890 |