| Dr Tracey L Miller, MD | |
| 5808 W 110th St, Overland Park, KS 66211-2504 | |
| (913) 696-8000 | |
| (816) 302-9939 | 
| Full Name | Dr Tracey L Miller | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 5808 W 110th St, Overland Park, Kansas | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1972696367 | NPI | - | NPPES | 
| 100143930A | Medicaid | KS | |
| 19401018 | Other | BCBS KANSAS CITY | |
| 619010 | Other | KS | BCBS KANSAS | 
| 205547706 | Medicaid | MO | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 0424509 (Kansas) | Primary | 
| Entity Name | The Childrens Mercy Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1851437719 PECOS PAC ID: 2466366026 Enrollment ID: O20050721001065 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Tracey L Miller, MD 2401 Gillham Rd, Provider Enrollment Department, Kansas City, MO 64108-4619 Ph: (816) 234-3000 | Dr Tracey L Miller, MD 5808 W 110th St, Overland Park, KS 66211-2504 Ph: (913) 696-8000 | 
| Dr. Fred Fletcher Roberts, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5610 W 131st Ter, Overland Park, KS 66209 Phone: 913-402-9813 | |
| Patricia C Bell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5808 W 110th St, Overland Park, KS 66211 Phone: 913-696-8000 Fax: 816-302-9939 | |
| Jennifer P Bernard, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 12541 Foster St, Suite 300, Overland Park, KS 66213 Phone: 913-317-3200 Fax: 913-317-3218 | |
| Dr. Robert Vincent Jackson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8901 W 74th St, Suite 10, Overland Park, KS 66204 Phone: 913-362-1660 | |
| Dr. Kathryn Ann Hartman, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 8901 W 74th St, Overland Park, KS 66204 Phone: 913-362-1660 | |
| Rima Mounla, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10208 W 147th St, Overland Park, KS 66221 Phone: 502-963-1031 | |
| Dr. Jennifer Rebecca Mellick, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7301 W 133rd St, Suite 102, Overland Park, KS 66213 Phone: 913-888-4567 Fax: 913-888-1277 |