Michelle M Miner
M.D. | Pediatrics | Female
Michelle M Miner, M.D. is a Springfield, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Michelle M Miner is
301 N 8th St, Pav 4a, Springfield, Illinois - 62701-1041. She can be contacted on phone at
217-545-4238 and fax number 217-545-2303.
Michelle M Miner is a sole proprietor of her business.
NPI number (Unique professional ID) for Michelle M Miner is
1285617456 which was assigned by NPPES on 22 Nov, 2005 and it was last updated on 08 Dec, 2020.
Michelle M Miner license number is
036-106594 for Pediatrics (208000000X) in Illinois.
Michelle M Miner is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Michelle M Miner basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics |
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Provider Name : | Michelle M Miner |
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Credential : | M.D. |
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Gender : | Female |
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Business Address:
Michelle M Miner address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 301 N 8th St, Pav 4a Springfield, IL, 62701-1041 United States |
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Phone Number : | 217-545-4238 |
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Fax Number : | 217-545-2303 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1285617456 |
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NPI Entity Type : | Individual |
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First Enrolment Date : | 22 Nov, 2005 |
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Last Updated On : | 08 Dec, 2020 |
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Medicare Participation:
Michelle M Miner participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID : | 6608064571 |
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Medicare Enrollment ID : | I20101217000888 |
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Primary Specialty : | Pediatric Medicine |
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Medical School : | Southern Illinois University School Of Medicine |
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Graduation Year : | 1999 |
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Accepts Medicare? | Yes. Michelle M Miner accepts medicare insurance. |
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Group Practice Association:
Michelle M Miner is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Michelle M Miner is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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Siu Physicians And Surgeons Inc | 2365352820 | 256 | 301 N 8th St Springfield, IL - 627011041 Ph: 2175458000 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michelle M Miner are as mentioned. Primary taxonomy code for Michelle M Miner, M.D. is
208000000X (Pediatrics).
Taxonomy Code | Speciality | Primary | License No. | State |
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208000000X | Pediatrics | Yes | 036-106594 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Michelle M Miner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
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036106594 | MEDICAID | IL | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
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DIRECT (Direct Messaging Address) | michelleminer@siusm.allscriptsdirect.net
| No affiliation |
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| 301 N 8TH ST, PAV 4A SPRINGFIELD, IL, 62701-1041 United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | Po Box 19658 Springfield, IL, 62794-9658 United States |
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Phone Number : | 217-545-4238 |
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Fax Number : | 217-545-2303 |
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Business Location:
Patients can refer following map for directions to
Michelle M Miner practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.