| Samuel Dean Miller Iv, DO | |
|
1400 E Church St, Santa Maria, CA 93454-5906 | |
| (805) 739-3000 | |
| Not Available |
| Full Name | Samuel Dean Miller Iv |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 22 Years |
| Location | 1400 E Church St, Santa Maria, California |
| 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 |
|---|---|---|---|
| 1619066693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 4349 (Arizona) | Secondary |
| 207PE0005X | Emergency Medicine - Undersea And Hyperbaric Medicine | 20A9888 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marian Regional Medical Center | Santa maria, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America - California | 6103739131 | 1093 |
| Entity Name | Cep America - California |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548667843 PECOS PAC ID: 6103739131 Enrollment ID: O20040121000458 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Dean Miller Iv, DO 531 Cuesta Pl, Arroyo Grande, CA 93420-2001 Ph: (714) 390-7650 | Samuel Dean Miller Iv, DO 1400 E Church St, Santa Maria, CA 93454-5906 Ph: (805) 739-3000 |
Simon Boughey, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2330 Westbury Way, Santa Maria, CA 93455 Phone: 805-937-1863 Fax: 805-937-4994 | |
Dr. David Aloysius Ketelaar, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 E Church St, Santa Maria, CA 93454 Phone: 805-739-3200 Fax: 805-739-3064 | |
Dr. Debra Lynn Weinstein, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 E Church St, Santa Maria, CA 93454 Phone: 805-739-3200 Fax: 805-739-3064 | |
Mellissa Sydney, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 E Church St, Santa Maria, CA 93454 Phone: 855-993-5209 | |
Dr. Gregory Scott Simmons, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1400 E Church St, Santa Maria, CA 93454 Phone: 805-739-3114 | |
Carsten Zieger, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2271 S Depot St, Santa Maria, CA 93455 Phone: 805-922-0561 | |
Guy Richard Bennallack Jr., DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 E Church St Bldg 8, Santa Maria, CA 93454 Phone: 805-739-3561 |