| Lori Beth Milliron, CPNP | |
|
1010 Valley St, Dayton, OH 45404-2070 | |
| (937) 641-4000 | |
| (937) 641-4500 |
| Full Name | Lori Beth Milliron |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 1010 Valley St, Dayton, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043410830 | NPI | - | NPPES |
| 421534506178 | Other | OH | CARESOURCE OHIO |
| 9760718 | Other | OH | AETNA |
| 000000722789 | Other | OH | BCBS OHIO |
| 0053983 | Medicaid | OH | |
| 1043410830 | Other | OH | MEDICAL MUTUAL OF OHIO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN.315948 (Ohio) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | COA 09845NP (Ohio) | Primary |
| Entity Name | Providence Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972533149 PECOS PAC ID: 2860386349 Enrollment ID: O20040215000006 |
| Entity Name | Dayton Childrens Specialty Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225192610 PECOS PAC ID: 5496916124 Enrollment ID: O20181024001690 |
| Mailing Address | Practice Location Address |
|---|---|
| Lori Beth Milliron, CPNP Po Box 933432, Cleveland, OH 44193-0039 Ph: (937) 641-5072 | Lori Beth Milliron, CPNP 1010 Valley St, Dayton, OH 45404-2070 Ph: (937) 641-4000 |
David Lee Evers, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 122 Wyoming St, Dayton, OH 45409 Phone: 937-223-4461 Fax: 937-449-7603 | |
Kimberly Kay Myers, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 W Elmwood Dr, Suite 1000, Dayton, OH 45459 Phone: 937-224-8200 Fax: 937-224-1770 | |
Joni Abramczyk, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1550 Yankee Park Pl, Dayton, OH 45458 Phone: 937-439-4949 | |
Angela Marie Thompson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7677 Yankee St Ste 110, Dayton, OH 45459 Phone: 800-824-9861 | |
Chasity Rene Lemons, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4160 Little York Rd Ste 20, Dayton, OH 45414 Phone: 937-454-9527 | |
Rosanne Cecilia Jones, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Childrens Plz, Dayton, OH 45404 Phone: 937-641-4000 Fax: 937-641-4500 | |
Kimberly Wade Young, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8120 Garnet Dr, Dayton, OH 45458 Phone: 833-510-4357 |