| Mr Douglas Dean Miller, MSN, FNP | |
|
1014 Elm Ave, Rocky Ford, CO 81067-1328 | |
| (719) 254-7421 | |
| (719) 254-6966 |
| Full Name | Mr Douglas Dean Miller |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1014 Elm Ave, Rocky Ford, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902899073 | NPI | - | NPPES |
| 70077371 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 106502, RXN, NP (Colorado) | Primary |
| Entity Name | Meadows Family Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962440412 PECOS PAC ID: 0446151617 Enrollment ID: O20040120000416 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Douglas Dean Miller, MSN, FNP 1014 Elm Ave, Rocky Ford, CO 81067-1328 Ph: (719) 254-7421 | Mr Douglas Dean Miller, MSN, FNP 1014 Elm Ave, Rocky Ford, CO 81067-1328 Ph: (719) 254-7421 |
Mrs. Heather A Elliott, MSN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1014 Elm Ave, Rocky Ford, CO 81067 Phone: 719-254-7421 Fax: 719-254-6966 | |
Jenna White, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26433 Cr Gg, Rocky Ford, CO 81067 Phone: 719-999-9999 | |
Sariah Anne Berg, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1014 Elm Ave, Rocky Ford, CO 81067 Phone: 719-254-7421 Fax: 833-630-1108 |