Tommie L Miller, LCSW | |
1209 Kemp Dr, Bolivar, MO 65613-9607 | |
(417) 326-2579 | |
(417) 326-2579 |
Full Name | Tommie L Miller |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 23 Years |
Location | 1209 Kemp Dr, Bolivar, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255395380 | NPI | - | NPPES |
499356806 | Medicaid | MO | |
195860 | Other | MO | BLUECROSS BLUE SHIELD ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 2004015488 (Missouri) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwoods Psychiatric Services Inc | 7012979974 | 3 |
Entity Name | Northwoods Psychiatric Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417902305 PECOS PAC ID: 7012979974 Enrollment ID: O20050103000556 |
Entity Name | Ozarks Resource Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639421050 PECOS PAC ID: 6002068723 Enrollment ID: O20130628000325 |
Mailing Address | Practice Location Address |
---|---|
Tommie L Miller, LCSW 1209 Kemp Dr, Bolivar, MO 65613-9607 Ph: (417) 326-2579 | Tommie L Miller, LCSW 1209 Kemp Dr, Bolivar, MO 65613-9607 Ph: (417) 326-2579 |
Regina Russell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 315 S Main Ave, Bolivar, MO 65613 Phone: 417-326-2902 Fax: 417-326-4555 | |
Mr. Justin Lee Johns, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 E San Martin St, Bolivar, MO 65613 Phone: 417-501-6138 | |
Ashley M Batson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1500 N Oakland Ave, Bolivar, MO 65613 Phone: 417-328-7468 | |
William Everett Hafer, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1100 South Springfield Ave, Suite B, Bolivar, MO 65613 Phone: 417-326-7272 Fax: 714-326-2193 | |
Rachel Grainger, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1300 N Oakland Ave, Bolivar, MO 65613 Phone: 417-326-7676 | |
Donna M Griffin, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1600 N. Oakland, Bolivar, MO 65613 Phone: 417-326-6000 |