| Dr Patricia A Miller, DO | |
|
200 Hospital Dr., Tylertown, MS 39667-2020 | |
| (601) 876-5835 | |
| (601) 876-0653 |
| Full Name | Dr Patricia A Miller |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 200 Hospital Dr., Tylertown, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821032236 | NPI | - | NPPES |
| 00126491 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 17776 (Mississippi) | Primary |
| Entity Name | Forrest County General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295837631 PECOS PAC ID: 1052397767 Enrollment ID: O20040624001351 |
| Entity Name | Walthall General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245512417 PECOS PAC ID: 3678766094 Enrollment ID: O20111103000238 |
| Entity Name | South Central Clinics, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Patricia A Miller, DO 200 Hospital Dr, Tylertown, MS 39667-2020 Ph: (601) 876-5835 | Dr Patricia A Miller, DO 200 Hospital Dr., Tylertown, MS 39667-2020 Ph: (601) 876-5835 |
Dr. Posavanike S Ganaraj, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 Hospital Dr, Tylertown, MS 39667 Phone: 601-876-4961 Fax: 601-876-9172 | |
David Jameson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Franklinton St, Tylertown, MS 39667 Phone: 601-876-9330 |