| Dr Kayla R Miller, MD | |
|
615 N Promenade St, Havana, IL 62644-1243 | |
| (309) 543-6600 | |
| Not Available |
| Full Name | Dr Kayla R Miller |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 12 Years |
| Location | 615 N Promenade St, Havana, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033524350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 125065513 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 125065513 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mason District Hospital Home Health | Havana, IL | Home health agency |
| Mason District Hospital | Havana, IL | Hospital |
| Abraham Lincoln Memorial Hospital | Lincoln, IL | Hospital |
| Graham Hospital Association | Canton, IL | Hospital |
| Mason City Area Nursing Home | Mason city, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mason Hospital District | 2466360607 | 37 |
| Entity Name | Mason Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902849649 PECOS PAC ID: 2466360607 Enrollment ID: O20040412000399 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kayla R Miller, MD 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 Ph: () - | Dr Kayla R Miller, MD 615 N Promenade St, Havana, IL 62644-1243 Ph: (309) 543-6600 |
Dr. Carlos Alberto Urdininea Kirkwood, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N Promenade St, Havana, IL 62644 Phone: 309-543-6600 | |
Tad A Yetter, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N Promenade St, Havana, IL 62644 Phone: 309-543-6600 Fax: 309-543-2089 | |
Daniel Patrick Stoops, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N Promenade St, Havana, IL 62644 Phone: 309-534-8555 | |
Richard W Wagoner, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 615 N Promenade St, Havana, IL 62644 Phone: 309-543-6600 Fax: 309-543-2089 |