| Blake Miller, DO | |
|
120 Marcell Dr Ne Ste C, Rockford, MI 49341-1362 | |
| (616) 884-0003 | |
| Not Available |
| Full Name | Blake Miller |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 18 Years |
| Location | 120 Marcell Dr Ne Ste C, Rockford, Michigan |
| 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 |
|---|---|---|---|
| 1952564130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 5101017873 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Of Carbondale | Carbondale, IL | Hospital |
| Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
| Pinckneyville Community Hospital | Pinckneyville, IL | Hospital |
| St Joseph Memorial Hospital | Murphysboro, IL | Hospital |
| Harrisburg Medical Center | Harrisburg, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Acute Care Surgery Of South Dakota Pc | 5698195030 | 67 |
| Entity Name | Acute Care Surgery Of South Dakota Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730797184 PECOS PAC ID: 5698195030 Enrollment ID: O20201228000468 |
| Entity Name | Acute Care Surgery Midwest, S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992380943 PECOS PAC ID: 9931508835 Enrollment ID: O20210526000929 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Miller, DO 120 Marcell Dr Ne Ste C, Rockford, MI 49341-1362 Ph: (616) 884-0003 | Blake Miller, DO 120 Marcell Dr Ne Ste C, Rockford, MI 49341-1362 Ph: (616) 884-0003 |
Dr. Marci Anne Bartholomew, MD, MS Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8501 Meadow Crk, Rockford, MI 49341 Phone: 616-267-8860 |