| Dr Kwon T Miller, DO | |
|
715 E Western Reserve Rd, Youngstown, OH 44514-3358 | |
| (330) 726-3204 | |
| (330) 729-9316 |
| Full Name | Dr Kwon T Miller |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 25 Years |
| Location | 715 E Western Reserve Rd, Youngstown, Ohio |
| 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 |
|---|---|---|---|
| 1316900848 | NPI | - | NPPES |
| 3074766 | Medicaid | OH | |
| 4303762 | Other | OH | MEDICARE PTAN |
| 001947190 | Medicaid | PA | |
| 0019616090004 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | OS012150 (Pennsylvania) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 34009913 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hmhp St Elizabeth Boardman Health Center | Boardman, OH | Hospital |
| St Elizabeth Youngstown Hospital | Youngstown, OH | Hospital |
| Mh St Joseph Warren Hospital | Warren, OH | Hospital |
| East Liverpool City Hospital | East liverpool, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Physicians Youngstown Specialty Care Llc | 3476950296 | 388 |
| Entity Name | Mercy Health Physicians Youngstown, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154636066 PECOS PAC ID: 9234318270 Enrollment ID: O20110124000753 |
| Entity Name | Mercy Health Physicians Youngstown Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649892225 PECOS PAC ID: 3476950296 Enrollment ID: O20210921003835 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kwon T Miller, DO Po Box 636988, Cincinnati, OH 45263-6988 Ph: (888) 940-2722 | Dr Kwon T Miller, DO 715 E Western Reserve Rd, Youngstown, OH 44514-3358 Ph: (330) 726-3204 |
Dr. Khaled Al-taieb, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 465 Gypsy Ln Apt 407, Youngstown, OH 44504 Phone: 330-391-0462 | |
Dr. Michael Allen Van Winkle, D.O Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1044 Belmont Ave, Youngstown, OH 44504 Phone: 330-480-3676 Fax: 330-480-7979 | |
Dr. Ayesha Khadka, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: St. Elizabeth Youngstown Hospital, Internal Medicine, 1001 Covington St. Youngstown, Youngstown, OH 44510 Phone: 330-480-2616 | |
Dr. Ghazaleh Bigdeli, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 925 Trailwood Dr, Youngstown, OH 44512 Phone: 330-758-7575 | |
Dr. Jeffrey C Halley, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 250 Debartolo Pl, Suite 2750, Youngstown, OH 44512 Phone: 330-758-7703 Fax: 330-758-4930 | |
Dr. Masud R Bhatti, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 835 Southwestern Run, Youngstown, OH 44514 Phone: 330-318-1100 | |
Chakri Yarlagadda, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1001 Belmont Ave, Youngstown, OH 44504 Phone: 330-747-6446 Fax: 330-747-6843 |