| Kenneth A Miller, DO | |
|
110 Jefferson St, West Union, IA 52175-1022 | |
| (563) 422-3817 | |
| Not Available |
| Full Name | Kenneth A Miller |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 110 Jefferson St, West Union, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225031883 | NPI | - | NPPES |
| 3150284 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1685 (Iowa) | Primary |
| Entity Name | Gundersen Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20040130000561 |
| Entity Name | Palmer Lutheran Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891744108 PECOS PAC ID: 4284544255 Enrollment ID: O20040317001077 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth A Miller, DO 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Kenneth A Miller, DO 110 Jefferson St, West Union, IA 52175-1022 Ph: (563) 422-3817 |
Geralyn R Zuercher, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Jefferson St, West Union, IA 52175 Phone: 563-422-3817 | |
Chaudri G Rasool, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 110 Jefferson St, West Union, IA 52175 Phone: 563-422-3817 | |
Carina Crookston, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 110 Jefferson St, West Union, IA 52175 Phone: 563-422-3817 |