| Rodney Lee Miller, MD | |
|
220 S Park Ave, 3rd Floor, Herrin, IL 62948-3612 | |
| (618) 942-2002 | |
| (618) 942-4477 |
| Full Name | Rodney Lee Miller |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 31 Years |
| Location | 220 S Park Ave, Herrin, Illinois |
| 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 |
|---|---|---|---|
| 1750382396 | NPI | - | NPPES |
| 036106959 | Medicaid | IL | |
| 3932056 | Other | IL | BCBS |
| 721089 | Other | IL | AETNA |
| 7100114770 | Medicaid | KY | |
| 1750382396 | Other | IL | BCBS OF IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036106959 (Illinois) | Primary |
| 207P00000X | Emergency Medicine | 036-106959 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hamilton Memorial Hospital | Mcleansboro, IL | Hospital |
| Franklin Hospital | Benton, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Franklin Hospital District | 4082516042 | 30 |
| Hamilton Memorial Hospital District | 6608865985 | 15 |
| Entity Name | Franklin Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255369427 PECOS PAC ID: 4082516042 Enrollment ID: O20040121001102 |
| Entity Name | Hamilton Memorial Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609837665 PECOS PAC ID: 6608865985 Enrollment ID: O20040511001018 |
| Entity Name | Integritas Emergency Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790128817 PECOS PAC ID: 7113167446 Enrollment ID: O20130710000760 |
| Entity Name | Statera Health Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043874449 PECOS PAC ID: 0244565729 Enrollment ID: O20190708000284 |
| Entity Name | Deaconess Illinois Specialty Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972210235 PECOS PAC ID: 9830562016 Enrollment ID: O20230321001688 |
| Mailing Address | Practice Location Address |
|---|---|
| Rodney Lee Miller, MD 1239 E Main St, P O Box 3988, Carbondale, IL 62901-3114 Ph: (618) 457-5200 | Rodney Lee Miller, MD 220 S Park Ave, 3rd Floor, Herrin, IL 62948-3612 Ph: (618) 942-2002 |
Ellie Marie Bentley, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 220 S Park Ave Fl 3, Herrin, IL 62948 Phone: 618-942-2002 Fax: 618-351-6497 | |
Kristina Marie Potanos, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 220 S Park Ave Fl 3, Herrin, IL 62948 Phone: 618-942-2002 Fax: 618-351-6497 | |
Dr. Cyril Kamya, M.D Surgery Medicare: Accepting Medicare Assignments Practice Location: 317 S 14th St Ste 1, Herrin, IL 62948 Phone: 618-988-6171 | |
Medha Suwanawongse, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 121 N 13th St, Herrin, IL 62948 Phone: 618-988-6025 Fax: 618-988-6024 | |
Dr. Robert Judson Brewer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 220 S Park Ave, 3rd Floor, Herrin, IL 62948 Phone: 618-942-2002 Fax: 618-351-6497 | |
Anne Hardy-henry, Surgery Medicare: Medicare Enrolled Practice Location: 317 S 14th St Ste 1, Herrin, IL 62948 Phone: 618-988-6171 Fax: 618-351-6491 | |
Antoni J Kos, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3307 Logan Dr Ste B, Herrin, IL 62948 Phone: 618-997-3461 Fax: 618-993-6042 |