| Mr Brent Jordan Miller, APRN, FNP-C | |
|
9400 East 350 Highway, Raytown, MO 64133 | |
| (816) 251-5700 | |
| Not Available |
| Full Name | Mr Brent Jordan Miller |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 9400 East 350 Highway, Raytown, Missouri |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871946160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2016019762 (Missouri) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 53-77307-021 (Kansas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Lukes Hospital Of Kansas City | Kansas city, MO | Hospital |
| Saint Luke's East Hospital | Lees summit, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Lukes Physician Group Inc | 3577476894 | 1094 |
| Entity Name | Saint Lukes Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20031111000818 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brent Jordan Miller, APRN, FNP-C 8312 Hedges Ave, Raytown, MO 64138-3440 Ph: (816) 316-9835 | Mr Brent Jordan Miller, APRN, FNP-C 9400 East 350 Highway, Raytown, MO 64133 Ph: (816) 251-5700 |
Ada Hendricks, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9300 E Gregory Blvd, Raytown, MO 64133 Phone: 866-825-3227 Fax: 484-450-2617 | |
Mrs. Yamila Williams, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7001 Blue Ridge Blvd, Raytown, MO 64133 Phone: 816-966-0900 | |
Dr. Daniel Jacob Love, DNP, APRN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9490 E State Route 350, Raytown, MO 64133 Phone: 816-256-4809 | |
Aimee Annette Turney, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6303 Evanston Ave, Raytown, MO 64133 Phone: 816-356-4325 | |
Mrs. Tina Marie Noone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11901 Jessica Ln, Raytown, MO 64138 Phone: 855-874-7394 | |
Blanche M Mcwilliams, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6700 Raytown Rd, Raytown, MO 64133 Phone: 816-358-5300 Fax: 816-358-7328 | |
Ahou Berthe Arterburn, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7001 Blue Ridge Blvd, Raytown, MO 64133 Phone: 816-988-2740 |