| Russell Miller, CNP | |
|
50505 Schoenherr Rd, Ste. 340, Shelby Township, MI 48315-3140 | |
| (586) 731-8400 | |
| Not Available |
| Full Name | Russell Miller |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Gerontology |
| Location | 50505 Schoenherr Rd, Shelby Township, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013455922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 4704281165 (Michigan) | Primary |
| Entity Name | Michigan Neurology Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861498362 PECOS PAC ID: 8628987468 Enrollment ID: O20050330000269 |
| Entity Name | Great Lakes Medicine Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740210517 PECOS PAC ID: 4880613637 Enrollment ID: O20051122000265 |
| Entity Name | Meadowbrook Primary Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154712073 PECOS PAC ID: 2769700160 Enrollment ID: O20150415001212 |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Miller, CNP 50505 Schoenherr Rd, Ste. 340, Shelby Township, MI 48315-3140 Ph: (586) 731-8400 | Russell Miller, CNP 50505 Schoenherr Rd, Ste. 340, Shelby Township, MI 48315-3140 Ph: (586) 731-8400 |
Miss Joey Fattizzo, FNP, RN, RDH Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45445 Mound Round, Suite 105, Shelby Township, MI 48317 Phone: 586-200-8707 Fax: 248-282-1313 | |
Mrs. Karey Hartford, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 49310 Van Dyke Ave, Shelby Township, MI 48317 Phone: 586-731-8900 Fax: 586-726-5439 | |
Diana Scanlon, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 45640 Schoenherr Rd, Suite B, Shelby Township, MI 48315 Phone: 586-247-4300 Fax: 586-532-6496 | |
Tyler Mclaughlan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14270 Oakwood Dr, Shelby Township, MI 48315 Phone: 586-900-9444 | |
Kathleen Lewis, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 46961 Van Dyke Ave, Shelby Township, MI 48317 Phone: 586-991-5205 | |
Theola J Rivera, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8180 26 Mile Rd, Suite 100, Shelby Township, MI 48316 Phone: 586-336-7321 Fax: 586-336-7356 |