Mrs Mary Kathleen Miller, DO is a
Pediatrics physician based in Springfield, South Dakota. Mrs Mary Kathleen Miller is licensed to practice in South Dakota (license number 4100) and her current practice location is 806 8th Street, Springfield, South Dakota. She can be reached at her office (for appointments etc.) via phone at
(605) 369-2627.
NPI number for Mrs Mary Kathleen Miller is 1992706519 and her current mailing address is Po Box 5126, Sioux Falls, South Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992706519.
Physician's Profile
| Full Name | Mrs Mary Kathleen Miller |
|---|
| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 806 8th Street, Springfield, South Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1992706519
- Provider Enumeration Date: 08/04/2005
- Last Update Date: 11/10/2011
Medical Identifiers
Medical identifiers for Mrs Mary Kathleen Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992706519 | NPI | - | NPPES |
| 6701142 | Medicaid | SD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | 4100 (South Dakota) | Primary |
| 208000000X | Pediatrics | 204 (Nebraska) | Secondary |
| 208000000X | Pediatrics | 45262 (Minnesota) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Mary Kathleen Miller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Mary Kathleen Miller, DO
Po Box 5126,
Sioux Falls, SD 57117-5126
Ph: (605) 369-2627 | Mrs Mary Kathleen Miller, DO
806 8th Street,
Springfield, SD 57062
Ph: (605) 369-2627 |
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