| Will Daniel Miller, PA | |
|
355 E Ash Ave, Decatur, IL 62526-6136 | |
| (217) 450-9826 | |
| (217) 717-2346 |
| Full Name | Will Daniel Miller |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 12 Years |
| Location | 355 E Ash Ave, Decatur, Illinois |
| 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 |
|---|---|---|---|
| 1760883441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085005212 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vitalskin Medical Group Il Pllc | 5991116261 | 56 |
| Entity Name | Vitalskin Medical Group Il PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063030252 PECOS PAC ID: 5991116261 Enrollment ID: O20201118002083 |
| Mailing Address | Practice Location Address |
|---|---|
| Will Daniel Miller, PA 355 E Ash Ave, Decatur, IL 62526-6136 Ph: (217) 450-9826 | Will Daniel Miller, PA 355 E Ash Ave, Decatur, IL 62526-6136 Ph: (217) 450-9826 |
Mary Katherine Kenney, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1800 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-464-2966 |
Paul Gurley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-3000 |
Jacob Nuss, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1730 E Lake Shore Dr, Decatur, IL 62521 Phone: 217-329-1000 Fax: 217-329-1055 |
Laura E Law, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 250 W Kenwood Ave, Decatur, IL 62526 Phone: 217-872-3800 Fax: 217-872-0849 |
Loceean Laney, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2120 N 27th St, Decatur, IL 62526 Phone: 217-876-4041 Fax: 217-423-6486 |
Amanda Jacobsen, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 320 E Central Ave, Decatur, IL 62521 Phone: 217-877-9117 |
Mr. Eric Matthew Carrier, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3131 N Water St, Decatur, IL 62526 Phone: 217-876-5320 Fax: 217-876-5865 |