| Kathryn Ann Miller, | |
|
100 Brewster Blvd, Camp Lejeune, NC 28547-2575 | |
| (910) 449-2778 | |
| Not Available |
| Full Name | Kathryn Ann Miller |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 100 Brewster Blvd, Camp Lejeune, 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 |
|---|---|---|---|
| 1821672510 | NPI | - | NPPES |
| 0001227541 | Other | VA | VA BOARD OF NURSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 135147 (North Carolina) | Primary |
| Entity Name | Smg Anesthesia Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518205004 PECOS PAC ID: 6305081118 Enrollment ID: O20130327000494 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Ann Miller, 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 Ph: (910) 449-2778 | Kathryn Ann Miller, 100 Brewster Blvd, Camp Lejeune, NC 28547-2575 Ph: (910) 449-2778 |
Dr. Jason Allan Patacsil, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4785 Fax: 910-450-4790 | |
Robert Roland Bradford Iii, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4357 | |
Dr. Justin Beryl Hefley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4288 | |
Jeffrey Henderson, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-3325 | |
Paul David Cooper Jr., C.R.N.A. Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 100 Brewster Blvd, Naval Hospital, Camp Lejeune, NC 28547 Phone: 910-450-4159 Fax: 910-450-4194 | |
Devon Nicole Kovacs, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Brewster Blvd, Camp Lejeune, NC 28547 Phone: 910-450-4357 | |
Timothy Kyle Stacks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 100 Brewster Blvd, Naval Hospital Camp Lejeune, Camp Lejeune, NC 28547 Phone: 910-450-4791 |