| Christopher Bruce Miller, MD | |
|
1406 Sixth Avenue North, St Cloud, MN 56303-1900 | |
| (320) 229-4901 | |
| (320) 229-5160 |
| Full Name | Christopher Bruce Miller |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 14 Years |
| Location | 1406 Sixth Avenue North, St Cloud, Minnesota |
| 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 |
|---|---|---|---|
| 1114201514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 57019755 (Ohio) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | 60519 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Cloud Hospital | Saint cloud, MN | Hospital |
| Centracare Health System - Melrose Hospital | Melrose, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Cloud Hospital | 4880594779 | 203 |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Entity Name | Centracare Health System - Melrose |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720045073 PECOS PAC ID: 1658270368 Enrollment ID: O20031231000690 |
| Entity Name | Centracare Health System - Melrose |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1720045073 PECOS PAC ID: 1658270368 Enrollment ID: O20060504000839 |
| Entity Name | St Cloud Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134 |
| Entity Name | Centracare Health System-nr Llc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1275872772 PECOS PAC ID: 3870739410 Enrollment ID: O20130426000215 |
| Entity Name | Centracare Health System-nr Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558600874 PECOS PAC ID: 3870739410 Enrollment ID: O20130515000683 |
| Entity Name | Carris Health Llc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1134632680 PECOS PAC ID: 7012274228 Enrollment ID: O20180111000831 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Bruce Miller, MD 1900 Centra Care Circle, Suite 1600, St Cloud, MN 56303-5000 Ph: (320) 229-4901 | Christopher Bruce Miller, MD 1406 Sixth Avenue North, St Cloud, MN 56303-1900 Ph: (320) 229-4901 |
Eitan Medini, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1900 Centra Care Cir #1600, Centra Care Clinic Health Plaza / Radiation Oncology, St Cloud, MN 56303 Phone: 320-229-4901 Fax: 320-229-5160 |