| Molly Miller, NP | |
|
14410 Route 37, Johnston City, IL 62951-3166 | |
| (618) 983-6911 | |
| (618) 983-2815 |
| Full Name | Molly Miller |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 14410 Route 37, Johnston City, 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 |
|---|---|---|---|
| 1700648052 | NPI | - | NPPES |
| 209029018 | Other | IL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209029018 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209.029018 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health - Good Samaritan Hospital | Mount vernon, IL | Hospital |
| Ssm Health St Mary's Hospital -centralia | Centralia, IL | Hospital |
| Washington County Hospital | Nashville, IL | Hospital |
| Salem Township Hospital | Salem, IL | Hospital |
| Southern Illinois Hospital Services Dba Herrin Hospital | Herrin, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Physician Services Corporation Of Southern Illinois Inc | 9234022567 | 123 |
| Entity Name | Physician Services Corporation Of Southern Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583 |
| Entity Name | Integrated Health Of Southern Illinois Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982738274 PECOS PAC ID: 2365401122 Enrollment ID: O20041007000123 |
| Mailing Address | Practice Location Address |
|---|---|
| Molly Miller, NP Po Box 155, Christopher, IL 62822-0155 Ph: (618) 724-2401 | Molly Miller, NP 14410 Route 37, Johnston City, IL 62951-3166 Ph: (618) 983-6911 |
Sabrina Lynn Stevens, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17410 Harris School Rd, Johnston City, IL 62951 Phone: 618-889-3817 | |
Ms. Rebecca L. Sloan, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14410 Route 37, Johnston City, IL 62951 Phone: 618-983-6911 Fax: 618-983-6913 | |
Gina D Gunther, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14410 Route 37, Johnston City, IL 62951 Phone: 618-983-6911 Fax: 618-983-6913 |