| Melissa Joy Miller, DO | |
|
3506 S Lafountain St, Kokomo, IN 46902-3803 | |
| (765) 776-3000 | |
| Not Available |
| Full Name | Melissa Joy Miller |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | 3506 S Lafountain St, Kokomo, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891228631 | NPI | - | NPPES |
| 1891228631 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 71144 (Wisconsin) | Secondary |
| 207R00000X | Internal Medicine | 02008429A (Indiana) | Primary |
| 208000000X | Pediatrics | 71144 (Wisconsin) | Secondary |
| Entity Name | The Medical College of Wisconsin Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Joy Miller, DO 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 Ph: (414) 805-6850 | Melissa Joy Miller, DO 3506 S Lafountain St, Kokomo, IN 46902-3803 Ph: (765) 776-3000 |
Leny Philip, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3118 S Lafountain St, Kokomo, IN 46902 Phone: 765-864-4160 Fax: 765-864-4166 |
Dr. Dawn Marie Sabau, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3508 S Lafountain St, Kokomo, IN 46902 Phone: 765-453-8181 Fax: 765-453-8565 |
Julie B Tredemeyer, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3505 S Reed Rd, Kokomo, IN 46902 Phone: 765-776-5500 |
Karthik Rao Polsani, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 S Lafountain St, Kokomo, IN 46902 Phone: 765-776-3020 Fax: 775-453-8111 |
Muni K Theertham, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 S Lafountain St, Kokomo, IN 46902 Phone: 765-776-3020 Fax: 765-453-8111 |
Philippe B Delalande, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2330 S Dixon Rd, Kokomo, IN 46902 Phone: 765-455-5400 |
John Salter, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 S Lafountain St, Kokomo, IN 46902 Phone: 765-453-8571 Fax: 765-864-8789 |