| Dr Cory R Miller, MD | |
|
1213 15th Ave W, Williston, ND 58801-3800 | |
| (701) 572-7651 | |
| (701) 774-7482 |
| Full Name | Dr Cory R Miller |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 1213 15th Ave W, Williston, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598783631 | NPI | - | NPPES |
| 15855 | Medicaid | ND | |
| 14060 | Other | ND | BLUE CROSS OF ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 5405 (North Dakota) | Primary |
| Entity Name | Mercy Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801928593 PECOS PAC ID: 7416851381 Enrollment ID: O20031230000336 |
| Entity Name | Turtle Mountain Family Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982031746 PECOS PAC ID: 0244463255 Enrollment ID: O20140428001718 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Cory R Miller, MD 1213 15th Ave W, Williston, ND 58801-3800 Ph: (701) 572-7651 | Dr Cory R Miller, MD 1213 15th Ave W, Williston, ND 58801-3800 Ph: (701) 572-7651 |
George M Wilson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1321 W Dakota Pkwy, Williston, ND 58801 Phone: 701-572-7711 Fax: 701-572-2283 | |
Dr. John Madison Clair, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-774-7400 | |
Austin James Mccoy, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1213 15th Ave. W., Craven Hagan Clinic, Williston, ND 58801 Phone: 701-572-7651 Fax: 352-265-1107 | |
Dr. Bruce S. Pugatch, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 15th Ave W, Williston, ND 58801 Phone: 701-774-7400 |