| Amanda M Millard, NP | |
|
2600 Tuscarawas St W Ste 500, Canton, OH 44708-4699 | |
| (330) 452-8858 | |
| (330) 452-8869 |
| Full Name | Amanda M Millard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 2600 Tuscarawas St W Ste 500, Canton, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891099784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | COA.11947-NP (Ohio) | Secondary |
| 363L00000X | Nurse Practitioner | COA.11947-NP (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aultman Hospital | Canton, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Encore Clinical Services Llc | 5991177313 | 49 |
| Entity Name | Cleveland Surgical Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831140003 PECOS PAC ID: 3577566371 Enrollment ID: O20060817000037 |
| Entity Name | Ohio Wound Care Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659965457 PECOS PAC ID: 7719393032 Enrollment ID: O20210311002489 |
| Entity Name | Encore Clinical Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184346140 PECOS PAC ID: 5991177313 Enrollment ID: O20230214000351 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda M Millard, NP 2600 Tuscarawas St W Ste 500, Canton, OH 44708-4699 Ph: (330) 452-8858 | Amanda M Millard, NP 2600 Tuscarawas St W Ste 500, Canton, OH 44708-4699 Ph: (330) 452-8858 |
Chelsea Flight, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-0000 |
Taylor Meghan Moyer, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Tuscarawas St W Ste 400, Canton, OH 44708 Phone: 330-458-2000 Fax: 330-458-2010 |
Jaime Marie Rennecker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-363-5433 Fax: 330-363-7785 |
Tayler Rae Schembechler, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6076 Whipple Ave Nw, Canton, OH 44720 Phone: 330-305-5001 |
Heather Baker, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Sixth St Sw, Canton, OH 44710 Phone: 330-452-9911 |
Kenzie Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2600 Tuscarawas St W, Canton, OH 44708 Phone: 330-363-9632 |
Douglas Kevin Stevens, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 Cleveland Ave Nw, Canton, OH 44702 Phone: 330-445-2677 Fax: 330-455-2101 |