| Laura Jackson Miller, MD | |
|
1014 Rose St, Prentiss, MS 39474-5271 | |
| (601) 792-2071 | |
| (601) 792-8134 |
| Full Name | Laura Jackson Miller |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 15 Years |
| Location | 1014 Rose St, Prentiss, Mississippi |
| 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 |
|---|---|---|---|
| 1245527902 | NPI | - | NPPES |
| 06022391 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 22311 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adoration Home Health | Collins, MS | Home health agency |
| Sta Home Health Agency Of Jackson, Inc. Dba Accentcare Home Health Of Jackson | Clinton, MS | Home health agency |
| Enhabit Home Health & Hospice | Hattiesburg, MS | Home health agency |
| St Luke Home Health Services | Mccomb, MS | Home health agency |
| Forrest General Home Care | Hattiesburg, MS | Home health agency |
| Forrest General Home Care And Hospice | Hattiesburg, MS | Hospice |
| King's Daughters Medical Center-brookhaven | Brookhaven, MS | Hospital |
| Jefferson Davis Community Hospital Cah | Prentiss, MS | Hospital |
| Copiah County Medical Center | Hazlehurst, MS | Hospital |
| Jefferson Davis Community Hospital Ecf | Prentiss, MS | Nursing home |
| Jefferson Davis Community Hospital Swing Bed | Prentiss, MS | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hattiesburg Clinic Pa | 5193706794 | 525 |
| Kings Daughters Medical Center | 3072575539 | 75 |
| Kdmc Physician Clinics Llc | 7012154495 | 31 |
| Entity Name | Hattiesburg Clinic PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
| Entity Name | Kings Daughters Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043245368 PECOS PAC ID: 3072575539 Enrollment ID: O20041028000174 |
| Entity Name | Kdmc Physician Clinics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861739161 PECOS PAC ID: 7012154495 Enrollment ID: O20130501000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Jackson Miller, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 792-2071 | Laura Jackson Miller, MD 1014 Rose St, Prentiss, MS 39474-5271 Ph: (601) 792-2071 |
Olivia D Moran, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 84 Laird Brinson Rd, Prentiss, MS 39474 Phone: 601-792-4079 |
Dr. Roy D Evans, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1320 Winfield Ave, Prentiss, MS 39474 Phone: 601-792-1172 Fax: 601-792-1267 |