| Joel M. Miller M.d. Pc | |
|
2 Northwestern Dr Ste 300 Bloomfield CT 06002-3480 | |
| (860) 242-6633 | |
| (860) 286-8411 |
| Full Name | Joel M. Miller M.d. Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Northwestern Dr Ste 300, Bloomfield, Connecticut |
| Authorized Official Name and Position | Joel M Miller (PHYSICIAN) |
| Authorized Official Contact | 8602426633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joel M. Miller M.d. Pc 2 Northwestern Dr Ste 300 Bloomfield CT 06002-3480 Ph: (860) 242-6633 | Joel M. Miller M.d. Pc 2 Northwestern Dr Ste 300 Bloomfield CT 06002-3480 Ph: (860) 242-6633 |
| NPI Number | 1366500407 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 01/30/2019 |
| Medicare PECOS PAC ID | 0648373100 |
|---|---|
| Medicare Enrollment ID | O20070321000514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366500407 | NPI | - | NPPES |
| 010015926CT01 | Other | KY | ANTHEM FEP |
| 0505863 | Other | PA | AETNA |
| 053027 | Other | CT | CONNECTICARE |
| 110008015 | Other | FL | MEDICARE PART B |
| 2045215 | Other | PA | AETNA |
| 010015926CT01 | Other | CT | BLUE CROSS BLUE SHIELD CT |
| 01215926 | Other | CT | CIGNA |
| P2522185 | Other | CT | OXFORD |
| 0333001174 | Other | CT | CONNECTICARE |
| 0V7294 | Other | KY | ACS HEALTH NET |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Joel M Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336180579 PECOS PAC ID: 6204835010 Enrollment ID: I20061205000331 |
| Provider Name | Beata T Kubacka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962929752 PECOS PAC ID: 3971879461 Enrollment ID: I20171028000270 |
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