| Kimberly Dawn Miller, FNP-C | |
|
4829 N State Road 1, Hagerstown Family Practice, Hagerstown, IN 47346-9620 | |
| (765) 489-3935 | |
| (765) 489-6344 |
| Full Name | Kimberly Dawn Miller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 4829 N State Road 1, Hagerstown, Indiana |
| 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 |
|---|---|---|---|
| 1134298276 | NPI | - | NPPES |
| 000001012297 | Other | IN | ANTHEM |
| 201251010 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71005072A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Reid-anc Home Care Services Llc | Richmond, IN | Home health agency |
| Reid Hospital & Health Care Services | Richmond, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Reid Physician Associates Inc | 6406910769 | 366 |
| 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 | Reid Physician Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265689111 PECOS PAC ID: 6406910769 Enrollment ID: O20090130000573 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Dawn Miller, FNP-C 1100 Reid Pkwy, Medical Staff Services, Richmond, IN 47374-1157 Ph: (765) 489-3935 | Kimberly Dawn Miller, FNP-C 4829 N State Road 1, Hagerstown Family Practice, Hagerstown, IN 47346-9620 Ph: (765) 489-3935 |
Susan B. Julian, C.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 E Main St, Hagerstown, IN 47346 Phone: 765-530-8008 Fax: 765-530-8099 |