| Richard Miller, MD | |
|
2800 E Broad St Ste 421, Mansfield, TX 76063-6415 | |
| (469) 695-2028 | |
| (469) 695-2029 |
| Full Name | Richard Miller |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 43 Years |
| Location | 2800 E Broad St Ste 421, Mansfield, Texas |
| 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 |
|---|---|---|---|
| 1558445668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0127X | Surgery - Trauma Surgery | MD20581 (Tennessee) | Secondary |
| 2086S0127X | Surgery - Trauma Surgery | S6251 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Mansfield Medical Center | Mansfield, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medhealth | 9931001567 | 373 |
| Entity Name | Medhealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912957200 PECOS PAC ID: 9931001567 Enrollment ID: O20040123000832 |
| Entity Name | Acclaim Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Miller, MD 2800 E Broad St Ste 421, Mansfield, TX 76063-6415 Ph: (469) 695-2028 | Richard Miller, MD 2800 E Broad St Ste 421, Mansfield, TX 76063-6415 Ph: (469) 695-2028 |
Dr. C Ivan E Cruz Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2975 E Broad St Ste 200, Mansfield, TX 76063 Phone: 682-518-8619 Fax: 682-518-8195 | |
Dr. Mark L Shapiro, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2800 E Broad St Ste 421, Mansfield, TX 76063 Phone: 469-695-2028 Fax: 469-695-2029 | |
Dr. Thomas John Goaley Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2800 E Broad St Ste 421, Mansfield, TX 76063 Phone: 469-695-2028 Fax: 469-695-2029 | |
James Juhng, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 2800 E Broad St Ste 421, Mansfield, TX 76063 Phone: 469-695-2028 | |
Ashfaq H Siddiqui, MD FACS Surgery Medicare: Accepting Medicare Assignments Practice Location: 309 Regency Pkwy, Suite 207, Mansfield, TX 76063 Phone: 817-225-2716 Fax: 817-225-2719 | |
Andrew Bertrand Standerwick, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2975 E Broad St Ste 200, Mansfield, TX 76063 Phone: 682-518-8619 Fax: 682-518-8195 |