| Brandon P Miller, | |
|
6325 Hospital Pkwy, Duluth, GA 30097 | |
| (678) 474-7000 | |
| Not Available |
| Full Name | Brandon P Miller |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 14 Years |
| Location | 6325 Hospital Pkwy, Duluth, Georgia |
| 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 |
|---|---|---|---|
| 1790074292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN149240 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Emory Johns Creek Hospital | Johns creek, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emory Specialty Associates, Llc | 3476559782 | 515 |
| Entity Name | North Fulton Anesthesia Associates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467445262 PECOS PAC ID: 7113914466 Enrollment ID: O20040428000839 |
| Entity Name | Emory Specialty Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
| Entity Name | Mak Anesthesia Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon P Miller, Po Box 13888, Roanoke, VA 24038-3888 Ph: (540) 266-9306 | Brandon P Miller, 6325 Hospital Pkwy, Duluth, GA 30097 Ph: (678) 474-7000 |
Ms. Irene S. Nicholas, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6325 W Johns Xing, Duluth, GA 30097 Phone: 404-778-8311 Fax: 404-495-1585 | |
Ms. Adrenne M Wygonik, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3079 Peachtree Industrial Blvd, Anesthesia Healthcare Partners/hbl Anesthesia Services, Duluth, GA 30097 Phone: 678-713-5847 Fax: 770-945-5960 | |
Marla Autry Jones, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3079 Peachtree Industrial Blvd, Anesthesia Dept., Duluth, GA 30097 Phone: 800-945-6133 | |
Kristin Dortch, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6335 Hospital Pkwy Ste Ll17, Duluth, GA 30097 Phone: 404-778-8311 | |
Andrea Baker, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2620 Satellite Blvd, Duluth, GA 30096 Phone: 404-785-8000 Fax: 404-785-8001 | |
Imani Harriott, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6335 Hospital Pkwy, Duluth, GA 30097 Phone: 404-778-8311 |