| Malissa Miller, NURSE PRACTITIONER | |
|
107 N Main St Ste 2a, Columbia, IL 62236-1757 | |
| (618) 693-9313 | |
| Not Available |
| Full Name | Malissa Miller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 107 N Main St Ste 2a, Columbia, Illinois |
| 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 |
|---|---|---|---|
| 1285113217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 277002437 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Our Urgent Care Llc | 5799782496 | 3 |
| Entity Name | Specialized Wound Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962430157 PECOS PAC ID: 4284628173 Enrollment ID: O20040413001407 |
| Entity Name | Our Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902815863 PECOS PAC ID: 5799782496 Enrollment ID: O20061020000531 |
| Mailing Address | Practice Location Address |
|---|---|
| Malissa Miller, NURSE PRACTITIONER 107 N Main St Ste 2a, Columbia, IL 62236-1757 Ph: (618) 693-9313 | Malissa Miller, NURSE PRACTITIONER 107 N Main St Ste 2a, Columbia, IL 62236-1757 Ph: (618) 693-9313 |
Kristen Nicole Massey, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Admiral Trost Rd Ste 1a, Columbia, IL 62236 Phone: 618-281-7373 | |
Frances Karnuth, DNP APRN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Eleven S Ste 4a, Columbia, IL 62236 Phone: 618-206-6120 | |
Ms. Vanessa D Pratt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Eleven S Ste 1a, Columbia, IL 62236 Phone: 618-470-6020 Fax: 618-470-6021 | |
Mrs. Suan Marie Rachels, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Wenkel St, Columbia, IL 62236 Phone: 618-444-5455 | |
Adriana Juanita Corwin, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1000 Eleven S, Columbia, IL 62236 Phone: 618-281-7010 | |
Mrs. Tina Louise Valentine, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 421 S Main St, Columbia, IL 62236 Phone: 618-281-7151 |