| Karissa Deanne Miller, | |
|
1110 Call Creek Dr Ste 7, Pocatello, ID 83201-3072 | |
| (208) 410-7670 | |
| Not Available |
| Full Name | Karissa Deanne Miller |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1110 Call Creek Dr Ste 7, Pocatello, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740436302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP-1670 (Idaho) | Primary |
| Provider Name | Idaho State University |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952474777 PECOS PAC ID: 4688683030 Enrollment ID: O20060412000292 |
| Provider Name | Hannahs Place Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245653468 PECOS PAC ID: 3577902683 Enrollment ID: O20240422001406 |
| Mailing Address | Practice Location Address |
|---|---|
| Karissa Deanne Miller, 2510 Woodhill Way, Pocatello, ID 83201-2635 Ph: (208) 410-7670 | Karissa Deanne Miller, 1110 Call Creek Dr Ste 7, Pocatello, ID 83201-3072 Ph: (208) 410-7670 |
Mrs. Molly Lee Hill, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 611 Wilson Ave Ste 6c, Pocatello, ID 83201 Phone: 208-530-0872 | |
Beth Agres, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1001 N 7th Ave, Pocatello, ID 83201 Phone: 208-239-1490 | |
Tenille Rudeen, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 611 Wilson Ave Ste 3, Pocatello, ID 83201 Phone: 208-242-7377 Fax: 208-417-0956 | |
Kami Anne Westover, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1110 Call Creek Dr Ste 4b, Pocatello, ID 83201 Phone: 208-233-4660 Fax: 208-233-4262 | |
Cheryl Zaremba, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 896 Lucille Ave, Pocatello, ID 83201 Phone: 208-234-7302 | |
Mr. James Ellis Williams Ii, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 527 Memorial Dr, Pocatello, ID 83201 Phone: 801-419-8096 | |
Mrs. Heather L. Rogers, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1110 Call Creek Dr Ste 7, Pocatello, ID 83201 Phone: 208-233-4660 Fax: 208-233-4262 |