| Dr Elijah G Miller, DO | |
|
201 Nw Rd Mize Road, Blue Springs, MO 64014 | |
| (816) 655-5426 | |
| (816) 655-5408 |
| Full Name | Dr Elijah G Miller |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 9 Years |
| Location | 201 Nw Rd Mize Road, Blue Springs, Missouri |
| 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 |
|---|---|---|---|
| 1386191682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | DO-05701 (Iowa) | Secondary |
| 207X00000X | Orthopaedic Surgery | 2942 (Nebraska) | Secondary |
| 207X00000X | Orthopaedic Surgery | 15502 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Stewart Memorial Community Hospital | Lake city, IA | Hospital |
| Trinity Regional Medical Center | Fort dodge, IA | Hospital |
| Dunes Surgical Hospital | Dakota dunes, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cnos Pc | 4284548942 | 97 |
| Iowa Physicians Clinic Medical Foundation | 8729992318 | 1047 |
| Cnos Pc | 4284548942 | 97 |
| Cnos Pc | 4284548942 | 97 |
| Stewart Memorial Community Hospital | 4486563707 | 27 |
| Entity Name | Stewart Memorial Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285652909 PECOS PAC ID: 4486563707 Enrollment ID: O20031107000249 |
| Entity Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
| Entity Name | Trinity Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073594156 PECOS PAC ID: 7315858529 Enrollment ID: O20031204000921 |
| Entity Name | Cnos Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881604320 PECOS PAC ID: 4284548942 Enrollment ID: O20031217000907 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Elijah G Miller, DO 575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312 Ph: (605) 217-2667 | Dr Elijah G Miller, DO 201 Nw Rd Mize Road, Blue Springs, MO 64014 Ph: (816) 655-5426 |
Dr. Derec Stanislav, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 Nw Rd Mize Road, Blue Springs, MO 64014 Phone: 816-655-5426 Fax: 816-655-5408 | |
Kevin Andrew Witte, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 203 Nw R.d. Mize Rd, Ste 250, Blue Springs, MO 64014 Phone: 816-220-8727 Fax: 816-220-8269 | |
Dr. Matthew Thomas Cullen, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 201 Nw R D Mize Rd, Blue Springs, MO 64014 Phone: 816-655-5426 |