| Kimberly Evonne Miller-hammond, MD | |
|
1 Good Samaritan Way, Mount Vernon, IL 62864-2402 | |
| (770) 617-5556 | |
| Not Available |
| Full Name | Kimberly Evonne Miller-hammond |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 16 Years |
| Location | 1 Good Samaritan Way, Mount Vernon, Illinois |
| 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 |
|---|---|---|---|
| 1164665428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | TL37495 (South Carolina) | Secondary |
| 208600000X | Surgery | 036159613 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Grady Memorial Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Morehouse Healthcare, Inc. | 6002701273 | 135 |
| Entity Name | Morehouse Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801832324 PECOS PAC ID: 6002701273 Enrollment ID: O20040217000570 |
| Entity Name | Atlanta Surgery Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467841445 PECOS PAC ID: 1850619131 Enrollment ID: O20150416001838 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Evonne Miller-hammond, MD 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 Ph: (770) 617-5556 | Kimberly Evonne Miller-hammond, MD 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 Ph: (770) 617-5556 |
Naresh Kumar Ahuja, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4230 Lincolnshire Dr Ste A, Mount Vernon, IL 62864 Phone: 618-315-6466 Fax: 618-315-6469 | |
Kevin B Claffey, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864 Phone: 618-242-8480 Fax: 618-242-8499 | |
Mr. Steven J Clark, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2 Good Samaritan Way, Suite 235, Mount Vernon, IL 62864 Phone: 618-899-3980 Fax: 618-899-4793 | |
Andrew Robert Johnson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864 Phone: 618-242-8480 Fax: 618-242-8499 | |
William Alan Bishop, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way Ste 235, Mount Vernon, IL 62864 Phone: 618-899-3980 | |
Alan Scott Harad, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 4218 Lincolnshire Dr, Mount Vernon, IL 62864 Phone: 618-242-8480 Fax: 618-242-8499 |