| Jennifer Elaine Miley, NP | |
|
225 Hillbourgh St, Fortson, GA 31808-6719 | |
| (706) 442-5008 | |
| Not Available |
| Full Name | Jennifer Elaine Miley |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 225 Hillbourgh St, Fortson, Georgia |
| 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 |
|---|---|---|---|
| 1679245062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | RN222280 (Georgia) | Primary |
| 363LF0000X | Nurse Practitioner - Family | RN222280 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Piedmont Columbus Regional Northside | Columbus, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Benning Hospitalist Services Llc | 5698038479 | 26 |
| Entity Name | Muscogee Hospitalist Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639681851 PECOS PAC ID: 8921368564 Enrollment ID: O20180130003094 |
| Entity Name | Benning Hospitalist Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215442173 PECOS PAC ID: 5698038479 Enrollment ID: O20180409000613 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Elaine Miley, NP 225 Hillbourgh St, Fortson, GA 31808-6719 Ph: (706) 442-5008 | Jennifer Elaine Miley, NP 225 Hillbourgh St, Fortson, GA 31808-6719 Ph: (706) 442-5008 |
Stephanie Schettig, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 297 Spruce Dr, Fortson, GA 31808 Phone: 706-580-2833 | |
Katherine Maxey, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 107 Twin Oaks Ct, Fortson, GA 31808 Phone: 706-615-4755 |