| Carl E Miller, PA | |
|
2500 Ne Neff Rd, Bend, OR 97701-6015 | |
| (541) 388-1636 | |
| Not Available |
| Full Name | Carl E Miller |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 20 Years |
| Location | 2500 Ne Neff Rd, Bend, Oregon |
| 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 |
|---|---|---|---|
| 1982760260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA01146 (Oregon) | Secondary |
| 174400000X | Specialist | PA01146 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Charles Bend Campus | Bend, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Charles Health System Inc | 8729111513 | 379 |
| Entity Name | St Charles Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982621447 PECOS PAC ID: 3870402852 Enrollment ID: O20040112000045 |
| Entity Name | St Charles Health System Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1710160445 PECOS PAC ID: 3870402852 Enrollment ID: O20080206000153 |
| Entity Name | Central Oregon Emergency Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376714543 PECOS PAC ID: 6406926211 Enrollment ID: O20080605000639 |
| Entity Name | St Charles Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023331303 PECOS PAC ID: 8729111513 Enrollment ID: O20100730000227 |
| Entity Name | St Charles Health System Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1356389894 PECOS PAC ID: 3870402852 Enrollment ID: O20130311000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Carl E Miller, PA Po Box 5577, Bend, OR 97708-5577 Ph: (541) 388-1636 | Carl E Miller, PA 2500 Ne Neff Rd, Bend, OR 97701-6015 Ph: (541) 388-1636 |