| Kaitlyn Miller, PA | |
|
801 Macarthur Blvd Ste 305, Munster, IN 46321-2920 | |
| (219) 703-2401 | |
| (219) 703-6687 |
| Full Name | Kaitlyn Miller |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 801 Macarthur Blvd Ste 305, Munster, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295373926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10002908A (Indiana) | Primary |
| Entity Name | Indiana University Health Ball Memorial Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505 |
| Entity Name | Riverview Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609074921 PECOS PAC ID: 1153216627 Enrollment ID: O20040216000572 |
| Entity Name | Cep America LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlyn Miller, PA 8871 Bradwell Pl Apt 207, Fishers, IN 46037-8632 Ph: Not Available | Kaitlyn Miller, PA 801 Macarthur Blvd Ste 305, Munster, IN 46321-2920 Ph: (219) 703-2401 |
Stefani Tica, Physician Assistant Medicare: Medicare Enrolled Practice Location: 9200 Calumet Ave # 203, Munster, IN 46321 Phone: 219-228-4200 |
Darcy Winston, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 901 Macarthur Blvd, Munster, IN 46321 Phone: 219-836-1600 |
Danielle Dominique Romero, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8135 Calumet Ave, Munster, IN 46321 Phone: 219-513-2000 |
Amy Berghoff, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9900 Columbia Ave, Munster, IN 46321 Phone: 219-924-3300 Fax: 219-934-2658 |
Michael A Krzyskowski, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9900 Columbia Ave, Munster, IN 46321 Phone: 121-992-4330 Fax: 219-934-2658 |
Allyson Caisley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 801 Macarthur Blvd Ste 305, Munster, IN 46321 Phone: 219-703-2401 Fax: 219-703-6687 |
Reeya Brahmbhatt, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 701 Superior Ave, Munster, IN 46321 Phone: 219-922-4200 |