| Mariam Imnadze Miller, MD | |
|
4315 Diplomacy Dr, Dept Of Urology, Anchorage, AK 99508-5926 | |
| (855) 482-4382 | |
| Not Available |
| Full Name | Mariam Imnadze Miller |
|---|---|
| Gender | Female |
| Speciality | Urology |
| Experience | 17 Years |
| Location | 4315 Diplomacy Dr, Anchorage, Alaska |
| 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 |
|---|---|---|---|
| 1659533222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 101249 (Alaska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alaska Native Medical Center | Anchorage, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Alaska Native Tribal Health Consortium | 6709780265 | 504 |
| Entity Name | Southeast Alaska Regional Health Consortium |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376758037 PECOS PAC ID: 1456265362 Enrollment ID: O20031114000631 |
| Entity Name | Bristol Bay Area Health Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235291246 PECOS PAC ID: 5890699920 Enrollment ID: O20031120000998 |
| Entity Name | Alaska Native Tribal Health Consortium |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
| Mailing Address | Practice Location Address |
|---|---|
| Mariam Imnadze Miller, MD 4315 Diplomacy Drive, Dept Of Urology, Anchorage, AK 99508 Ph: (907) 729-4443 | Mariam Imnadze Miller, MD 4315 Diplomacy Dr, Dept Of Urology, Anchorage, AK 99508-5926 Ph: (855) 482-4382 |
William R Clark Ii, Urology Medicare: Medicare Enrolled Practice Location: 188 W Northern Lights Blvd, Suite 800, Anchorage, AK 99503 Phone: 907-276-2803 Fax: 907-278-8052 | |
Dr. J. Wesley Turner, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3841 Piper St, Suite T300, Anchorage, AK 99508 Phone: 907-563-3103 Fax: 907-561-1862 | |
Bryan James Wilson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508 Phone: 206-257-8989 | |
Owen Aftreth, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 3841 Piper St Ste T300, Anchorage, AK 99508 Phone: 907-563-3103 | |
Lawrence R Strawbridge, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 188 W Northern Lights Blvd, Suite 800, Anchorage, AK 99503 Phone: 907-276-2803 Fax: 907-278-8052 | |
William L Lubke, MD Urology Medicare: Medicare Enrolled Practice Location: 4315 Diplomacy Dr, Anchorage, AK 99508 Phone: 907-729-2748 Fax: 907-729-2746 | |
Dr. Paul G. Ferucci, M.D. Urology Medicare: Medicare Enrolled Practice Location: 3841 Piper St, Suite T300, Anchorage, AK 99508 Phone: 907-563-3103 Fax: 907-561-1862 |