| Dr Lisa Naczki Miller, MD | |
|
207 Medical St, Pilot Mountain, NC 27041-8656 | |
| (336) 368-5011 | |
| Not Available |
| Full Name | Dr Lisa Naczki Miller |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 27 Years |
| Location | 207 Medical St, Pilot Mountain, North Carolina |
| 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 |
|---|---|---|---|
| 1679593065 | NPI | - | NPPES |
| 89132NP | Medicaid | NC | |
| 1679593065 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9901448 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Novant Health Forsyth Medical Center | Winston-salem, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Novant Health Medical Group, Llc | 1153234893 | 2144 |
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Forsyth Memorial Hospital Inc | 9537071790 | 549 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306950282 PECOS PAC ID: 1153234893 Enrollment ID: O20040204001028 |
| Entity Name | Forsyth Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104548874 PECOS PAC ID: 9537071790 Enrollment ID: O20040405001702 |
| Entity Name | Novant Health Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679528384 PECOS PAC ID: 1153234893 Enrollment ID: O20060828000304 |
| Entity Name | Nh Digital Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427683044 PECOS PAC ID: 9537588934 Enrollment ID: O20201005002074 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Naczki Miller, MD Po Box 751803, Charlotte, NC 28275-1803 Ph: (336) 368-5011 | Dr Lisa Naczki Miller, MD 207 Medical St, Pilot Mountain, NC 27041-8656 Ph: (336) 368-5011 |
Lisa Anne Petri, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 207 Medical St, Pilot Mountain, NC 27041 Phone: 336-368-5011 Fax: 336-368-1424 | |
Randall Scott Keith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 104 Ararat Longhill Rd, Pilot Mountain, NC 27041 Phone: 336-786-7966 Fax: 336-786-1601 |