| Jenna R Miller, PA-C | |
|
350 E 12 Mile Rd, Madison Heights, MI 48071-2531 | |
| (248) 716-8600 | |
| Not Available |
| Full Name | Jenna R Miller |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 350 E 12 Mile Rd, Madison Heights, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215613682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601011836 (Michigan) | Primary |
| Entity Name | Huron Emergency Medicine Specialists PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528686540 PECOS PAC ID: 9032538830 Enrollment ID: O20200929000182 |
| Entity Name | Get Well Urgent Care Taylor PLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689320012 PECOS PAC ID: 4385011329 Enrollment ID: O20221104001251 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna R Miller, PA-C 350 E 12 Mile Rd, Madison Heights, MI 48071-2531 Ph: (248) 716-8600 | Jenna R Miller, PA-C 350 E 12 Mile Rd, Madison Heights, MI 48071-2531 Ph: (248) 716-8600 |
Payton Elise Manns, MS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 350 E 12 Mile Rd, Madison Heights, MI 48071 Phone: 248-716-8600 |
Rita Youkhana, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 30581 Stephenson Hwy, Madison Heights, MI 48071 Phone: 248-589-1770 Fax: 248-589-2838 |
Anita Saad Gorgis, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 350 E 12 Mile Rd, Madison Heights, MI 48071 Phone: 313-377-7377 |
Japhia Rachel Kurikesu, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 350 E 12 Mile Rd, Madison Heights, MI 48071 Phone: 248-716-8600 |
Isabella Yaldo, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 350 E 12 Mile Rd, Madison Heights, MI 48071 Phone: 248-716-8600 |
Mr. Benjamin Andrew Tong, M.S., PA-C, EMT-P Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 28200 John R, Madison Heights, MI 48071 Phone: 248-547-1400 |
Samantha Manni, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 350 E 12 Mile Rd, Madison Heights, MI 48071 Phone: 248-716-8600 |