| 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 | 3 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 | 197 |
| 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 |
Ramona Greene, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2080 Child St, Jacksonville, FL 32214 Phone: 904-542-7300 |
Nina Garcia, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000 |
Shauna Wright, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 11903 Turkey Rd, Jacksonville, FL 32221 Phone: 904-424-2714 |
Sarah Victoria Brinkley, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 820 Prudential Dr, Jacksonville, FL 32207 Phone: 814-591-8074 |
Mr. Bradley James Wine, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 800 Prudential Dr, Jacksonville, FL 32207 Phone: 904-202-2000 |
Emmanuela St Fleur, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 800 Prudential Dr, Jacksonville, FL 32207 Phone: 904-202-2000 |
Jordan Kudlak, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 14550 Old Saint Augustine Rd, Jacksonville, FL 32258 Phone: 904-271-6000 |