Individual ProviderAndrew MillerAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address104 West 5th Ave, Suite 230e, Spokane, WA 99204-2483(509) 838-8828PECOS EnrollmentBased on the most recent information from CMS, provider Andrew Miller is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1851307722Provider TypeIndividualFull NameMiller, AndrewTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date7/31/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address104 West 5th Ave, Suite 230e, Spokane, WA 99204-2483Phone(509) 838-8828Fax(509) 835-4058Mailing LocationMailing Address104 West 5th Ave, Suite 230e, Spokane, WA 99204-2483Phone(509) 838-8828Fax(509) 835-4058Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseMD00042072North CarolinaProvider IdentifiersIDDescriptionIssuerID8349896DescriptionMedicaidIssuerUnlistedWashington