| Autumn R Miller, PA-C | |
|
2601 Fieldcrest Dr, Kaukauna, WI 54130-4523 | |
| (920) 462-6100 | |
| (920) 462-6107 |
| Full Name | Autumn R Miller |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 2601 Fieldcrest Dr, Kaukauna, Wisconsin |
| 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 |
|---|---|---|---|
| 1093023319 | NPI | - | NPPES |
| 1093851 | Other | NCCPA CERTIFICATION | |
| 2661-023 | Other | WI | WI LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2661-023 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension Ne Wisconsin - St Elizabeth Campus | Appleton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group-fox Valley Wisconsin Inc | 0244142420 | 256 |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn R Miller, PA-C 2601 Fieldcrest Dr, Kaukauna, WI 54130-4523 Ph: (920) 462-6100 | Autumn R Miller, PA-C 2601 Fieldcrest Dr, Kaukauna, WI 54130-4523 Ph: (920) 462-6100 |
Erin Mae Johnson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2601 Fieldcrest Dr, Kaukauna, WI 54130 Phone: 920-462-6100 | |
Angela Marie Heinkel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2601 Fieldcrest Dr, Kaukauna, WI 54130 Phone: 920-462-6100 |