| Jared A Miller, MD | |
| 138 N Dixon Rd, Kokomo, IN 46901-4154 | |
| (765) 236-8282 | |
| Not Available | 
| Full Name | Jared A Miller | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 138 N Dixon Rd, Kokomo, Indiana | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1275876310 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080S0010X | Pediatrics - Sports Medicine | 01079512A (Indiana) | Secondary | 
| 208000000X | Pediatrics | 01079512A (Indiana) | Primary | 
| Entity Name | St Vincent Medical Group Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1144513375 PECOS PAC ID: 7012047640 Enrollment ID: O20100609000045 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jared A Miller, MD 138 N Dixon Rd, Kokomo, IN 46901-4154 Ph: () - | Jared A Miller, MD 138 N Dixon Rd, Kokomo, IN 46901-4154 Ph: (765) 236-8282 | 
| Jeniffer Forson,  Pediatrics Medicare: Medicare Enrolled Practice Location: 3611 S Reed Rd Ste 108, Kokomo, IN 46902 Phone: 765-776-3700 | |
| Dr. Samatha Madhavarapu, M.D., Pediatrics Medicare: Medicare Enrolled Practice Location: 3118 S Lafountain St, Kokomo, IN 46902 Phone: 765-864-4160 | |
| Dana Y Stewart, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1907 W Sycamore St, Kokomo, IN 46901 Phone: 317-583-3332 Fax: 317-583-2805 | |
| Dr. Benjamin F Weston, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2130 W Sycamore St Ste 260, Kokomo, IN 46901 Phone: 765-236-8457 | |
| Mohanjit Gill, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3506 S Lafountain St, Kokomo, IN 46902 Phone: 765-864-6700 Fax: 765-864-6703 | |
| Donita Roettcher, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3611 S Reed Rd Ste 108, Kokomo, IN 46902 Phone: 765-776-3700 |