| Sandra Beth Miller, PA | |
|
718 Jupiter Dr, Madison, WI 53718-2950 | |
| (872) 231-3162 | |
| Not Available |
| Full Name | Sandra Beth Miller |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 718 Jupiter Dr, Madison, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275888760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2987-23 (Wisconsin) | Primary |
| Entity Name | Dean Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
| Entity Name | Madison Emergency Physicians SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588646095 PECOS PAC ID: 4587631858 Enrollment ID: O20040915000748 |
| Entity Name | Baycare Aurora LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579 |
| Entity Name | Integrated Rehab Consultants LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528379195 PECOS PAC ID: 7810184892 Enrollment ID: O20121001000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandra Beth Miller, PA Po Box 74008272, Chicago, IL 60674-8272 Ph: (702) 899-0595 | Sandra Beth Miller, PA 718 Jupiter Dr, Madison, WI 53718-2950 Ph: (872) 231-3162 |
Marcia Angela Bolles, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5249 E Terrace Dr, Madison, WI 53718 Phone: 608-222-9777 Fax: 608-221-2646 |
Stacy Jo Kegel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-262-2398 |
Elise Kreger, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4602 Eastpark Blvd, Madison, WI 53718 Phone: 608-263-7540 Fax: 608-662-4545 |
Christopher Do, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 S Park St, Madison, WI 53715 Phone: 608-251-6100 Fax: 608-260-2976 |
Grace Ann Kessler, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6400 |
Jeremi Thomas Olson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 700 S Park St, Dean St. Mary's Outpatient Center, Madison, WI 53715 Phone: 608-260-2900 Fax: 608-260-7975 |
Timothy J Morton, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 700 S Park St, Dean Medical Center, Madison, WI 53715 Phone: 608-251-6100 |