| Carmen L Miller, | |
|
710 Riverside Dr, Waupaca, WI 54981-1941 | |
| (715) 256-3000 | |
| (715) 256-3079 |
| Full Name | Carmen L Miller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 710 Riverside Dr, Waupaca, 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 |
|---|---|---|---|
| 1104339001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 8238 (Wisconsin) | Primary |
| 163W00000X | Registered Nurse | 159127 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thedacare Medical Center - Waupaca Inc | Waupaca, WI | Hospital |
| Thedacare Regional Medical Center - Neenah Inc | Neenah, WI | Hospital |
| Thedacare Medical Center - Wild Rose Inc | Wild rose, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Thedacare, Incorporated | 1759294887 | 654 |
| Entity Name | Thedacare, Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
| Entity Name | Thedacare Medical Center - Waupaca, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780782680 PECOS PAC ID: 3072504216 Enrollment ID: O20040524000645 |
| Mailing Address | Practice Location Address |
|---|---|
| Carmen L Miller, 122 E College Ave, Appleton, WI 54911-5794 Ph: (920) 996-3264 | Carmen L Miller, 710 Riverside Dr, Waupaca, WI 54981-1941 Ph: (715) 256-3000 |
Mary M. Beatty-roloff, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: N2919 Cty Hwy Qq, Waupaca, WI 54981 Phone: 715-258-2108 Fax: 715-942-2199 |
Tammy M Flynn, APNP,PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: E1634 Park View Way, Waupaca, WI 54981 Phone: 920-939-5526 |
Bradley Klein, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000 Fax: 715-256-3079 |
Catherine A Anderson, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5993 County Road Dd, Waupaca, WI 54981 Phone: 715-824-6769 |
Molly Ann Szymanski, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-256-3000 |
Mrs. Carri Lynn Schacherl, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 190 Grand Seasons Dr, Waupaca, WI 54981 Phone: 715-258-3650 |
Janice A Hahn-peskie, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 710 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1160 Fax: 715-256-3079 |