Mrs Alisa Ann Miles, INTERN is a
Student In An Organized Health Care Education/training Program based in Tulsa, Oklahoma. Mrs Alisa Ann Miles is licensed to practice in * (Not Available) (license number ) and her current practice location is
11740 E 21st St, Tulsa, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 437-9495.
NPI number for Mrs Alisa Ann Miles is 1194063610 and her current mailing address is 2109 S Highway 69, Wagoner, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194063610.
Healthcare Provider's Profile
| Full Name | Mrs Alisa Ann Miles |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 11740 E 21st St, Tulsa, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1194063610
- Provider Enumeration Date: 01/17/2013
- Last Update Date: 03/12/2018
Medical Identifiers
Medical identifiers for Mrs Alisa Ann Miles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194063610 | NPI | - | NPPES |
| 1194063610 | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Alisa Ann Miles is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Alisa Ann Miles, INTERN
2109 S Highway 69,
Wagoner, OK 74467-9310
Ph: (918) 708-3006 | Mrs Alisa Ann Miles, INTERN
11740 E 21st St,
Tulsa, OK 74129-1820
Ph: (918) 437-9495 |
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