| Ian Miller, | |
|
4254 Marquette Ave, Jacksonville, FL 32210-2127 | |
| (904) 422-0478 | |
| Not Available |
| Full Name | Ian Miller |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 4254 Marquette Ave, Jacksonville, Florida |
| 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 |
|---|---|---|---|
| 1801577879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN9474107 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence Portland Medical Center | Portland, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospitalist Medicine Physicians Of Washington - Tcs | 6800240102 | 187 |
| Entity Name | Hospitalist Medicine Physicians Of Washington - Tcs |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649816380 PECOS PAC ID: 6800240102 Enrollment ID: O20230920001616 |
| Mailing Address | Practice Location Address |
|---|---|
| Ian Miller, 4254 Marquette Ave, Jacksonville, FL 32210-2127 Ph: (904) 422-0478 | Ian Miller, 4254 Marquette Ave, Jacksonville, FL 32210-2127 Ph: (904) 422-0478 |
Joyce Wallace, CRNA, ARNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 2165 Herschel St, Jacksonville, FL 32204 Phone: 904-387-4030 | |
Ramona Greene, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2080 Child St, Jacksonville, FL 32214 Phone: 904-542-7300 | |
Mr. Brandon Neil Hillard, APRN Registered Nurse Medicare: Medicare Enrolled Practice Location: 4401 Emerson St Ste 8, Jacksonville, FL 32207 Phone: 904-387-9406 Fax: 904-212-0381 | |
Nina Garcia, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 | |
Mark Lathrop, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 2449 Blackbeard Dr, Jacksonville, FL 32224 Phone: 904-238-0070 | |
Mrs. Colette C Ikem, MSN, CNM Registered Nurse Medicare: Medicare Enrolled Practice Location: 515 W 6th St, Jacksonville, FL 32206 Phone: 904-253-2720 | |
Mrs. Tasha Ellsberry, APRN, FNP, PMHNP-BC Registered Nurse Medicare: May Accept Medicare Assignments Practice Location: 13453 N Main St Ste 104, Jacksonville, FL 32218 Phone: 904-773-4390 Fax: 941-641-7089 |