| Timothy W Miller, DO | |
|
1000 Greg Kruschek Highway, Norton Sound Health Corp., Nome, AK 99762 | |
| (907) 443-3311 | |
| Not Available |
| Full Name | Timothy W Miller |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 17 Years |
| Location | 1000 Greg Kruschek Highway, Nome, Alaska |
| 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 |
|---|---|---|---|
| 1326275082 | NPI | - | NPPES |
| 7891 | Other | AK | ALASK STATE MEDICAL LICENCE (OLD 5233, NEW 7891) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5233 (Alaska) | Secondary |
| 207Q00000X | Family Medicine | 7891 (Alaska) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Alaska Medical Center | Anchorage, AK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Park Family Care Inc | 9638161268 | 14 |
| Entity Name | Medical Park Family Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144392317 PECOS PAC ID: 9638161268 Enrollment ID: O20040401001357 |
| Entity Name | Independence Healthcare Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891790184 PECOS PAC ID: 0648264549 Enrollment ID: O20040413001235 |
| Entity Name | Capstone Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538414834 PECOS PAC ID: 0941452551 Enrollment ID: O20121205000549 |
| Entity Name | Odyssey Family Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780142042 PECOS PAC ID: 3476989062 Enrollment ID: O20200129002758 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy W Miller, DO Po Box 1209, Nome, AK 99762 Ph: (907) 433-9500 | Timothy W Miller, DO 1000 Greg Kruschek Highway, Norton Sound Health Corp., Nome, AK 99762 Ph: (907) 443-3311 |
Logan F Huff, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Greg Kruschek Ave, Nome, AK 99762 Phone: 907-443-3311 | |
Dr. Jerry M. Davenport, D. O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 306 W 5th Ave, Norton Sound Health Cooperation, Nome, AK 99762 Phone: 907-443-3214 | |
James Lavery, Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 Greg Kruscheck Ave, Nome, AK 99762 Phone: 907-443-3311 | |
Chase William Gulstrom, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 Greg Kruschek Avenue, Nome, AK 99762 Phone: 190-744-3331 | |
Stephen Darrell Daniel, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 Greg Kruschek Ave., Norton Sound Health Corporation, Nome, AK 99762 Phone: 907-443-3311 Fax: 907-443-4570 | |
Dr. Sai-ling Liu, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5th Avenue 306 West, Norton Sound Health Corporation, Nome, AK 99762 Phone: 907-443-3311 Fax: 907-443-3139 |