| Craig B Miller, MD | |
|
2349 Lake Ave Ste 100, Plymouth, IN 46563-7836 | |
| (574) 948-5100 | |
| (574) 948-5499 |
| Full Name | Craig B Miller |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 2349 Lake Ave Ste 100, Plymouth, Indiana |
| 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 |
|---|---|---|---|
| 1376571265 | NPI | - | NPPES |
| 200272700A | Medicaid | IN | |
| 1102406683 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01050910 (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Porter Home Health | Valparaiso, IN | Home health agency |
| Saint Joseph Vna Home Care | Mishawaka, IN | Home health agency |
| Saint Joseph Regional Medical Center - Plymouth | Plymouth, IN | Hospital |
| Saint Joseph Regional Medical Center | Mishawaka, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Joseph Regional Medical Center Inc | 8325950843 | 126 |
| Entity Name | Saint Joseph Regional Medical Center-south Bend Campus Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023844693 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724 |
| Entity Name | Saint Joseph Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225082878 PECOS PAC ID: 8325950843 Enrollment ID: O20040708000757 |
| Entity Name | Hhc Indiana Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801822440 PECOS PAC ID: 0749172401 Enrollment ID: O20040816001039 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig B Miller, MD 707 Cedar St Ste 405, South Bend, IN 46617-2059 Ph: (574) 335-8707 | Craig B Miller, MD 2349 Lake Ave Ste 100, Plymouth, IN 46563-7836 Ph: (574) 948-5100 |
Laura Elizabeth Blackford, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2349 Lake Ave, Suite 100, Plymouth, IN 46563 Phone: 574-948-5100 Fax: 574-948-5499 | |
Viraj S Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1904 Lake Ave, Plymouth, IN 46563 Phone: 574-936-3178 Fax: 574-936-1084 | |
Rebecca M Brice, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1915 Lake Ave, Plymouth, IN 46563 Phone: 574-948-4000 Fax: 574-948-5454 | |
Abdul Sami Qazi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1915 Lake Ave, Plymouth, IN 46563 Phone: 574-948-4000 Fax: 574-948-5454 | |
Dr. Sally Beazlie-walker, D.O Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 209 E Jefferson St, Plymouth, IN 46563 Phone: 574-948-5100 Fax: 574-348-0745 | |
Dr. Zubair Ul Haq, M.B.B.S., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1919 Lake Ave Ste 102, Plymouth, IN 46563 Phone: 574-335-5880 Fax: 574-335-0859 |