| Courtney Stanford Miller, NP | |
|
20060 Governors Dr, Suite 102, Olympia Fields, IL 60461-1029 | |
| (815) 824-4406 | |
| Not Available |
| Full Name | Courtney Stanford Miller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 20060 Governors Dr, Olympia Fields, Illinois |
| 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 |
|---|---|---|---|
| 1629435060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209013548 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 4704276415 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beaumont Hospital - Dearborn | Dearborn, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Beaumont Medical Group- Specialty Services | 7214299866 | 804 |
| Entity Name | Beaumont Medical Group Hospital Based Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796 |
| Entity Name | Beaumont Medical Group- Specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Stanford Miller, NP 26901 Beaumont Boulevard, Ste 3d, Southfield, MI 48033-3849 Ph: (947) 522-1866 | Courtney Stanford Miller, NP 20060 Governors Dr, Suite 102, Olympia Fields, IL 60461-1029 Ph: (815) 824-4406 |
Nancy Tapia, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2555 Lincoln Hwy Ste 200, Olympia Fields, IL 60461 Phone: 708-996-4000 | |
Dawyn Marie Jenkins, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2555 Lincoln Hwy Ste 205, Olympia Fields, IL 60461 Phone: 708-677-8337 | |
Nicole Bindl, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3800 W 203rd St Ste 204, Olympia Fields, IL 60461 Phone: 708-852-2641 Fax: 708-503-3260 | |
Rhonda Renae Pettaway Ansier, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3700 W 203rd St Ste 110, Olympia Fields, IL 60461 Phone: 708-679-1890 | |
Ms. Tracy Loren Taylor, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-679-2850 | |
Larina Branch, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 W 203rd St Ste 301, Olympia Fields, IL 60461 Phone: 708-679-2850 Fax: 708-503-3816 | |
Megan Gac, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 W 203rd St Ste 302, Olympia Fields, IL 60461 Phone: 708-679-2518 Fax: 708-679-2519 |