| Katherine Kimi Miura, MD | |
|
100 Cummings Ctr, Suite 423-g, Beverly, MA 01915-6115 | |
| (978) 594-1662 | |
| (978) 336-5887 |
| Full Name | Katherine Kimi Miura |
|---|---|
| Gender | Female |
| Speciality | Psychiatry |
| Experience | 32 Years |
| Location | 100 Cummings Ctr, Beverly, Massachusetts |
| 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 |
|---|---|---|---|
| 1801853007 | NPI | - | NPPES |
| 1457642894 | Other | MA | NPI TYPE 2 |
| 1801853007 | Other | MA | NPI TYPE 1 |
| 3156486 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 81163 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northeast Hospital Corporation | Beverly, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northeast Medical Practice Inc | 2365405024 | 228 |
| Entity Name | Northeast Medical Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235147760 PECOS PAC ID: 2365405024 Enrollment ID: O20050111000265 |
| Entity Name | Northeast Behavioral Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154302586 PECOS PAC ID: 0446155808 Enrollment ID: O20100817000286 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Kimi Miura, MD 100 Cummings Ctr, Suite 423-g, Beverly, MA 01915-6115 Ph: (978) 594-1662 | Katherine Kimi Miura, MD 100 Cummings Ctr, Suite 423-g, Beverly, MA 01915-6115 Ph: (978) 594-1662 |
Dr. Stephen Russell Loverme Jr., M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 83 Herrick St, Suite 1001, Beverly, MA 01915 Phone: 978-922-2226 Fax: 978-922-2269 | |
Timothy Raymond Kelliher, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 152 Conant St Ste 200, Beverly, MA 01915 Phone: 978-922-2226 Fax: 978-922-2269 | |
David A Kolb, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 83 Herrick St, Ste 1001 Womens Health Building, Beverly, MA 01915 Phone: 978-921-1900 Fax: 978-921-6694 | |
Louis Tramontozzi, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 83 Herrick St, Suite, Beverly, MA 01915 Phone: 978-922-2226 Fax: 978-922-2269 | |
Dr. Ilya Victor Bogorad, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 83 Herrick St, Suite 1001, Beverly, MA 01915 Phone: 978-922-2226 Fax: 978-922-2269 | |
Harneet Singh, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 83 Herrick St, Suite 1001, Beverly, MA 01915 Phone: 978-922-2226 Fax: 978-922-2269 | |
Dr. Julia Salinas, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 85 Herrick St, Beverly, MA 01915 Phone: 978-816-3700 |