| Mark L Miller, DO | |
|
329 Floyd Dr, Carrollton, KY 41008-8261 | |
| (502) 732-1082 | |
| Not Available |
| Full Name | Mark L Miller |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 329 Floyd Dr, Carrollton, Kentucky |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558474130 | NPI | - | NPPES |
| 000000526905 | Other | KY | ANTHEM |
| 64123722 | Medicaid | KY | |
| 50014320 | Other | KY | PASSPORT |
| 2831247000 | Other | KY | PASSPORT ADVANTAGE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02963 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Norton Hospitals, Inc | Louisville, KY | Hospital |
| Jewish Hospital & St Mary's Healthcare | Louisville, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centerwell Senior Primary Care Ky Psc | 8022492024 | 24 |
| Entity Name | Triad Health Systems, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831311299 PECOS PAC ID: 4082798699 Enrollment ID: O20100806000077 |
| Entity Name | Centerwell Senior Primary Care Ky Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376282038 PECOS PAC ID: 8022492024 Enrollment ID: O20220824003346 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark L Miller, DO 329 Floyd Dr, Carrollton, KY 41008-8261 Ph: (502) 732-1082 | Mark L Miller, DO 329 Floyd Dr, Carrollton, KY 41008-8261 Ph: (502) 732-1082 |
Daniel A Shields, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 309 11th St, Carrollton, KY 41008 Phone: 502-732-4321 | |
Cecil D Martin, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 309 11th St, Carrollton, KY 41008 Phone: 502-732-3272 Fax: 502-732-3284 | |
Dr. Dhimitri Elicia Gross, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 329 Floyd Dr, Carrollton, KY 41008 Phone: 502-732-1082 | |
Dr. Amanda M Vickers, D.O Family Medicine Medicare: Medicare Enrolled Practice Location: 309 11th St, Carrollton, KY 41008 Phone: 502-732-4321 | |
Karalee J Bessinger, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Marwill Dr Ste 1, Carrollton, KY 41008 Phone: 502-732-6956 Fax: 502-732-8219 | |
Dr. Sarah Ruth Hollis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 Marwill Dr Ste 1, Carrollton, KY 41008 Phone: 502-732-6956 Fax: 502-732-8219 |