| Kathleen M Miller, MD | |
|
1015 Michigan Ave, Logansport, IN 46947-1526 | |
| (574) 722-5151 | |
| (574) 739-1414 |
| Full Name | Kathleen M Miller |
|---|---|
| Gender | Female |
| Speciality | Psychiatry |
| Experience | 42 Years |
| Location | 1015 Michigan Ave, Logansport, Indiana |
| 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 |
|---|---|---|---|
| 1790883528 | NPI | - | NPPES |
| 100352240 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 01035452A (Indiana) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 01035452A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Four County Comprehensive Mental Health Center Inc | 2163334277 | 28 |
| Entity Name | Four County Comprehensive Mental Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972545945 PECOS PAC ID: 2163334277 Enrollment ID: O20031105000480 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen M Miller, MD 1015 Michigan Ave, Logansport, IN 46947-1526 Ph: (574) 722-5151 | Kathleen M Miller, MD 1015 Michigan Ave, Logansport, IN 46947-1526 Ph: (574) 722-5151 |
Dr. Danny J. Meadows Jr., M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1098 S State Road 25, Logansport, IN 46947 Phone: 574-722-4141 Fax: 574-735-3414 | |
Dr. Dexter L. Fields, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1098 S State Road 25, Logansport, IN 46947 Phone: 574-722-4141 | |
Dr. Robert C. Shaw Jr., M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1098 S State Road 25, Logansport, IN 46947 Phone: 574-722-4141 Fax: 574-735-3414 | |
Dr. Jill D Abram, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1015 Michigan Ave, Logansport, IN 46947 Phone: 574-722-5151 Fax: 574-739-1414 | |
Shawn G Larson, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1015 Michigan Ave, Logansport, IN 46947 Phone: 574-722-5151 Fax: 574-739-1414 | |
Ms. Doris Elizabeth Leblanc, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1015 Michigan Ave, Logansport, IN 46947 Phone: 574-722-5151 Fax: 574-739-1414 | |
Dr. Despina Moise, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1015 Michigan Ave, Logansport, IN 46947 Phone: 574-722-5151 Fax: 574-739-1414 |