| Rhonda Miller, MD | |
|
420 N Sawyer Rd, Kendallville, IN 46755-2572 | |
| (260) 347-8030 | |
| (260) 347-8035 |
| Full Name | Rhonda Miller |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology |
| Location | 420 N Sawyer Rd, Kendallville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669431144 | NPI | - | NPPES |
| 32443400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 01081557A (Indiana) | Primary |
| 207V00000X | Obstetrics & Gynecology | 39987 (Wisconsin) | Secondary |
| Entity Name | Governor Juan F Luis Hospital & Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972503647 PECOS PAC ID: 1153233804 Enrollment ID: O20070515000578 |
| Mailing Address | Practice Location Address |
|---|---|
| Rhonda Miller, MD 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Rhonda Miller, MD 420 N Sawyer Rd, Kendallville, IN 46755-2572 Ph: (260) 347-8030 |
Luis M Velasco, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 420 N Sawyer Rd, Kendallville, IN 46755 Phone: 260-347-8030 Fax: 260-347-8035 | |
Bobby Tolosa, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 420 N Sawyer Rd, Kendallville, IN 46755 Phone: 260-347-8030 Fax: 260-347-8035 | |
Kiersa Diane Durfee, MD Obstetrics & Gynecology Medicare: May Accept Medicare Assignments Practice Location: 420 N Sawyer Rd, Kendallville, IN 46755 Phone: 260-347-8030 Fax: 260-347-8035 |