| Tanner M Miller, MD | |
|
363 N West St, Olney, IL 62450-1160 | |
| (618) 392-9400 | |
| (618) 395-2131 |
| Full Name | Tanner M Miller |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 11 Years |
| Location | 363 N West St, Olney, 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 |
|---|---|---|---|
| 1497135065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036146339 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Carle Home Care | Champaign, IL | Home health agency |
| St Anthonys Memorial Hospital | Effingham, IL | Hospital |
| Wabash General Hospital 1 | Mount carmel, IL | Hospital |
| Clay County Hospital | Flora, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Richland Memorial Hospital Inc | 3870565732 | 87 |
| Entity Name | Richland Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467492124 PECOS PAC ID: 3870565732 Enrollment ID: O20040811000131 |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Entity Name | Richland Memorial Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1467492124 PECOS PAC ID: 3870565732 Enrollment ID: O20231206000465 |
| Mailing Address | Practice Location Address |
|---|---|
| Tanner M Miller, MD 800 E Locust St, Olney, IL 62450-2553 Ph: (618) 395-7340 | Tanner M Miller, MD 363 N West St, Olney, IL 62450-1160 Ph: (618) 392-9400 |
Mr. Arcot D Suresh, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 N East St, Olney, IL 62450 Phone: 618-395-5222 Fax: 618-395-8552 | |
Yekaterina Fayn, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 E Locust St, Olney, IL 62450 Phone: 618-392-1139 Fax: 618-392-1138 | |
Dr. Luis C Devenecia Jr., MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 N East St, Olney, IL 62450 Phone: 618-395-5222 Fax: 618-395-8552 |