| Dr Isaac David Miller, MD | |
|
908 Wallace Ave, Leitchfield, KY 42754-1479 | |
| (270) 230-0124 | |
| (270) 230-0157 |
| Full Name | Dr Isaac David Miller |
|---|---|
| Gender | Male |
| Speciality | Sports Medicine |
| Experience | 14 Years |
| Location | 908 Wallace Ave, Leitchfield, Kentucky |
| 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 |
|---|---|---|---|
| 1134488539 | NPI | - | NPPES |
| 7100422810 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | MD.34424 (Alabama) | Secondary |
| 207QS0010X | Family Medicine - Sports Medicine | 49328 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Intrepid Usa Healthcare Services | Elizabethtown, KY | Home health agency |
| Twin Lakes Regional Medical Center | Leitchfield, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pt Pros, Inc | 0143139337 | 218 |
| Pt Pros, Inc | 0143139337 | 218 |
| Owensboro Health Medical Group Inc | 0648255034 | 435 |
| Entity Name | Owensboro Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235518242 PECOS PAC ID: 0648255034 Enrollment ID: O20040621000818 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Isaac David Miller, MD 908 Wallace Ave, Leitchfield, KY 42754-1479 Ph: (270) 230-0124 | Dr Isaac David Miller, MD 908 Wallace Ave, Leitchfield, KY 42754-1479 Ph: (270) 230-0124 |
Kenneth E Green, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1895 Elizabethtown Rd, Leitchfield, KY 42754 Phone: 270-230-0182 Fax: 270-230-0014 | |
Ray J Begay, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Mill St, Leitchfield, KY 42754 Phone: 270-259-0352 Fax: 270-287-0157 | |
Dr. Charles D Jarboe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 912 Wallace Ave, Suite 103, Leitchfield, KY 42754 Phone: 270-230-8200 Fax: 270-230-0882 | |
Dr. Ivan Alexander Escudero, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 912 Wallace Ave Ste 102, Leitchfield, KY 42754 Phone: 270-259-8888 Fax: 270-259-8887 | |
Dr. Gay Fulkerson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 310 S Main St, Leitchfield, KY 42754 Phone: 270-259-9633 Fax: 270-259-0061 | |
Avery Alexander Buckles, Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 910 Wallace Ave Ste 102, Leitchfield, KY 42754 Phone: 270-259-8888 |