| Jaclyn Christine Miller, | |
|
4420 Lake Boone Trl, Raleigh, NC 27607-7505 | |
| (919) 784-3100 | |
| Not Available |
| Full Name | Jaclyn Christine Miller |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 4420 Lake Boone Trl, Raleigh, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316328115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN575481 (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 007392 (North Carolina) | Primary |
| Entity Name | Anesthesia Specialists Of Bethlehem Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851349302 PECOS PAC ID: 1355254533 Enrollment ID: O20031112000676 |
| Entity Name | St Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700984622 PECOS PAC ID: 6709798333 Enrollment ID: O20040226000062 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn Christine Miller, 1305 Walt Whitman Rd Ste 300, Melville, NY 11747-4300 Ph: (866) 306-6007 | Jaclyn Christine Miller, 4420 Lake Boone Trl, Raleigh, NC 27607-7505 Ph: (919) 784-3100 |
Eric Linton, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3100 | |
Brianne V Schreiber, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4044 Barton Park Pl, Raleigh, NC 27613 Phone: 330-503-7009 | |
Carol Goodson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2308 Wesvill Ct, Raleigh, NC 27607 Phone: 919-781-4311 | |
Christopher Michael Lamers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-5645 | |
Donna Ransom, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4420 Lake Boone Trl, Raleigh, NC 27607 Phone: 919-784-3034 | |
Douglas Sanks, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-5645 | |
Angela L Kinmann, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3000 New Bern Ave, Raleigh, NC 27610 Phone: 919-350-5645 |